Top 9664 Manager coding compliance Jobs

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Behavioral Health Consultant / SME
AGS Health Private Limited —Remote
- 8 hour shift
- Remote
- HIPAA
- 3 years
- Master's degree
Quick Apply
PRN Clinical Coding Reimbursement Compliance Manager
Harris Health —Bellaire, TX
- $46.85 - $60.90 an hour
- Part-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Access
Manager Professional Billing Coding Operations - Remote
Boston Medical Center —Remote
- $78,000 - $113,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Dental insurance
Professional Fee Coding Auditor
Managed Resources, Inc (MRI) —Remote
- $28 - $32 an hour
- Full-time
- Remote
- Microsoft Word
- 5 years
- HIPAA
- Paid holidays
- Health insurance
Medical Coding Manager
Alteva RCM —Remote
- $85,000 - $110,000 a year
- Remote
- 5 years
- Recruiting
- Organizational skills
- Disability insurance
- Health insurance
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Compliance Auditor -Remote
Providence —Alaska
- $30.47 - $58.75 an hour
- Full-time
- Remote
- 5 years
- Mid-level
- Finance
- Paid parental leave
- Paid holidays
Manager Coding Audit, Remote
University of Maryland Medical System —Baltimore, MD
- $42.64 - $64.00 an hour
- Full-time
- Remote
- Customer service
- Computer literacy
- 3 years
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Risk Adjustment Compliance Coding Specialist, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- 7 years
- Work from home
Healthcare Compliance Manager
Dozee Inc —Texas
- $100,000 - $115,000 a year
- Full-time
- Remote
- CRM software
- HIPAA
- Bachelor's degree
Quick Apply
Manager Coding Compliance (Hybrid) - Surgery
Washington University in St Louis —St. Louis, MO
- $70,600 - $109,500 a year
- Online Application
- Surgery
- Pass drug screening
- Mid-level
- Commuter assistance
- Employee assistance program
Coding & Compliance Manager, Surgery
Beth Israel Lahey Health —Boston, MA
- $92,955 - $125,091 a year
- Full-time
- Microsoft Outlook
- Surgery
- Hospital
Manager - Patient Financial Services (Remote)
Stanford Health Care —Sacramento, CA
- $52.69 - $69.82 an hour
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Military encouraged
Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical
Amazon.com Services LLC —Remote
- $56,700 - $99,300 a year
- Full-time
- Google Workspace
- Customer service
- Mid-level
- AD&D insurance
- Health insurance
Field Reimbursement Manager - Remote
Medtronic —Texas
- $133,600 - $200,400 a year
- Full-time
- Remote
- 7 years
- Sales
- Master's degree
- Health savings account
- Employee stock purchase plan
10d
Coding Compliance Analyst
Optum —Worcester, MA
- $23.89 - $42.69 an hour
- 8 hour shift
- Remote
- Pass drug screening
- Mid-level
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
Clinical Coding Manager
Reveleer —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Computer literacy
- HIPAA
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Corporate Import Compliance Manager
Mitsubishi Electric US, Inc. —Remote
- $111,200 - $152,900 a year
- Full-time
- US work authorization
- Fair chance
- Experience equivalent to degree accepted
- Paid time off
- Parental leave
Quick Apply
Auditor, Risk Adjustment
Oscar Health —Dallas, TX
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply

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Medical Coding Manager

Confidential
Florida

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Practice management
RHIA
Medical coding
RHIT
Certified Professional Coder
ICD-10
Bachelor's degree
CPT coding

Full Job Description

Job Overview:

We are seeking a highly skilled and dynamic Medical Coding Manager with expertise in pediatric practice management to lead our coding operations. This individual will be responsible for ensuring accurate coding practices company-wide, evaluating appropriateness of CPT and ICD10 codes assigned to each patient prior to claim submission. The Medical Coding Manager will be responsible for determining diagnosis hierarchy and CPT to ICD10 pointing, providing input on coding workflows, and working cohesively with clinical providers to educate them on coding optimization. The Medical Coding Manager must possess the ability to understand complex documentation relative to Value Based Care.

Key Responsibilities:

Oversee and manage coding operations specific to pediatric healthcare services, ensuring compliance with all regulatory guidelines (e.g., ICD-10, CPT, CMS).
Serve as the subject matter expert in pediatric coding, providing guidance to coding teams, clinicians, and administrative staff.
Ensure accurate and timely coding per patient visit before claim submission, focusing on reducing denials and optimizing reimbursement processes for pediatric services.

Provider Training & Education:

Works with the clinical documentation specialist to offer advice regarding coding protocols relative to claim guidance and regulations. Educates clinical staff on coding relative to claim errors and rules.
Conduct “chart to bill” audits to ensure proper codes are utilized for patient specific visits
Act as a liaison between clinical and RCM teams to address concerns and educate each team as necessary.

AI Integration and Process Optimization:

Stay up to date on advancements in AI technologies related to coding and healthcare billing.
Colaborates with clinical documentation specialist and RCM leadership to integrate AI-driven coding solutions to enhance productivity, accuracy, and efficiency.
Collaborate with IT and data science teams to implement AI tools and assess their impact on coding performance and revenue cycle management.

Leadership & Team Management:

Lead, mentor, and develop a team of coding professionals to ensure consistent quality in coding practices.
Provide strategic oversight and direction for coding activities, ensuring alignment with the organization’s goals and regulatory requirements.
Partners with RCM leadership to optimize the revenue cycle and support the organization’s financial health.

Compliance & Regulatory Monitoring:

Ensure adherence to all federal, state, and local regulations, including HIPAA, CMS, and payer-specific requirements.
Review and update coding policies and procedures regularly to reflect changes in coding standards, regulatory guidelines, and payer requirements.

Qualifications:

Education:

Bachelor’s degree in Health Information Management preferred.
Certification in coding (AAPC or AHIMA (COC, CPC, CPEDC) required, but pediatric certified (CPEDC) preferred.

Experience:

Minimum of 5 years of experience in healthcare coding, with a significant focus on pediatric services preferred.
Proven experience in claim requirements for coding.

Skills:

Strong knowledge of ICD-10-CM, CPT, and HCPCS coding standards, with a focus on pediatric codes.
Excellent training, presentation, and communication skills, with the ability to translate claim requirements relative to coding to clinical and RCM staff.
Experience in managing coding teams and cross-departmental collaborations.
Strong communications skills with providers.

Key Competencies:

Strong analytical and problem-solving skills.
Ability to adapt to new technologies and lead organizational change.
Detail-oriented with the ability to manage multiple priorities.
Strong interpersonal and communication skills with the ability to build relationships across various departments.

Why Join Us?

As a Coding Manager, you’ll play a pivotal role in shaping the future of pediatric healthcare RCM operations within our organization. Your expertise in pediatric coding, ability to train staff, and forward thinking relative to AI applications will contribute to improving healthcare outcomes and operational efficiency.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Location:

Florida (Required)

Work Location: Remote

Quick Apply

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manager coding compliance jobs

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