Manager Hospital Coding

Manager Hospital Coding

Job Code: 29392

Position Summary

The Manager of Hospital Coding is responsible for the daily management of hospital coding operations, including inpatient, outpatient, emergency department, observation, surgery, and ancillary coding functions. This position ensures coding accuracy, regulatory compliance, productivity, and timely billing while supporting reimbursement integrity and organizational revenue cycle goals.

Responsibilities

• Directs daily hospital coding activities and workflow management
• Ensures coding assignments are completed accurately and within established turnaround times
• Monitors coding work queues, DNFB accounts, and productivity standards
• Collaborates with Revenue Cycle and CDI teams to reduce coding-related delays
• Ensures compliant application of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines
• Oversees coding quality review processes and ongoing audit activities
• Implements action plans to address coding deficiencies and improve outcomes
• Maintains compliance with CMS, OIG, Joint Commission, and commercial payer requirements
• Partners with CDI leadership to support documentation quality and reimbursement optimization
• Monitors trends affecting case mix index (CMI), DRG assignment, and reimbursement
• Assists with appeals, denials management, and payer audit responses
• Oversees Emergency Department charging operations, ensuring accurate, timely, and compliant charge capture and reconciliation
• Directs Clinical Data Abstraction activities to ensure accurate and timely reporting to regulatory, quality, and reimbursement programs
• Monitors productivity, quality, and performance metrics for charging and abstraction functions, driving process improvements and resolving operational issues
• Supervises coding staff and coding supervisors
• Establishes productivity and quality expectations
• Conducts employee evaluations, coaching, and development planning
• Supports recruitment, onboarding, and retention efforts
• Develops and monitors operational metrics related to quality, productivity, DNFB, and coding turnaround times
• Reports performance trends and opportunities to leadership
• Recommends process improvement initiatives to enhance efficiency and accuracy
• Partners with IT and Epic teams to optimize coding workflows and system functionality
• Participates in testing and implementation of coding-related system enhancements
• Supports automation and technology initiatives to improve coding performance
• Participates in organizational and departmental committees
• Maintains current knowledge of coding regulations, reimbursement methodologies, and industry best practices
• Relies on experience and judgment to plan and accomplish goals
• Regular and predictable attendance is an essential job function
• Performs other related duties as assigned
• Competent to meet age-specific needs of the unit assigned

Requirements and Minimum Qualifications

• High School diploma or equivalent required
• Bachelor’s degree in health information management, Healthcare Administration, or a related field required; Master’s degree preferred
• Minimum 3 years’ of coding leadership experience required
• Minimum 5 years’ of hospital coding experience required
• CCS, CIC, COC, or equivalent certification required
• Strong knowledge of DRG reimbursement methodologies, ICD-10-CM/PCS, CPT, and HCPCS coding
• Strong knowledge of CPT, HCPCS, ICD-10-CM coding and provider documentation requirements
• Experience with Epic or similar electronic health record system preferred
• Proven ability to analyze operational and financial performance data and translate findings into actionable strategies
• Exceptional leadership, communication, relationship-building, and change management skills
• Experience with Epic and revenue cycle technology platforms preferred
• Ability to communicate data and complex topics to senior leadership

Working Conditions

• Must be able to lift and move up to 10 lbs
• Must be able to communicate and exchange accurate information
• Typical equipment used in an office job