Job Closed
This listing is no longer active.
Modern house calls that strengthen engagement with primary care
Medical Coding Manager
Location
United States
Posted
107 days ago
Salary
$80K - $110K / year
Seniority
Senior
Job Description
Medical Coding Manager
Sprinter Health
• Lead, coach, and support a remote team of medical coders (and coding auditors), setting clear expectations, running regular 1:1s, and fostering a culture of trust and respect—not micromanagement. • Manage day-to-day coding operations, including work queue oversight, workload balancing, and turnaround time performance, while tracking and reporting on accuracy, productivity, and compliance metrics. • Serve as the primary escalation point for coding questions and complex scenarios, partnering with Revenue Cycle, Compliance, and audit resources to understand issues, audit findings, and denial trends. • Ensure coding is accurate, complete, and compliant with ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidelines through strong training, clear policies, and daily oversight. • Develop, maintain, and socialize coding policies, playbooks, and job aids that enable consistent, high-quality coding decisions. • Design and own a comprehensive coding education program, including new-hire onboarding, ramp plans, role-specific competency checklists, and structured 30/60/90-day milestones. • Develop and deliver ongoing training (huddles, workshops, office hours, and written guidance) on guideline updates, payer changes, common error patterns, and Sprinter-specific workflows (e.g., Care+ visits, diagnostics). • Create and maintain a centralized, easy-to-use library of training materials—guides, FAQs, tip sheets, and short videos—that coders can rely on in real time. • Provide individual coaching based on performance data, audit/denial trends, and observed needs, while supporting coders in maintaining and advancing their professional certifications and continuing education. • Foster a strong learning culture by normalizing questions, encouraging peer-to-peer knowledge sharing, recognizing improvements, and reinforcing confidentiality and HIPAA/compliance standards.
Job Requirements
- Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification.
- Minimum 5 years of professional coding experience, with at least 2 years in a senior, lead, or supervisory role supporting other coders.
- Strong understanding of pro-fee coding, including preventive care, primary care, diagnostics, and virtual/telehealth services.
- Deep knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and national/payer-specific guidelines.
- Demonstrated experience designing and delivering coding education (e.g., leading trainings/huddles, building guides, mentoring coders).
- Familiarity with HCC / risk adjustment coding and how coding supports value-based care and quality programs.
- Experience presenting to and working with external clients or partners, including developing and explaining client-facing reports, analytics, and coding-related insights.
- Proficiency with EHR systems, encoder/coding software, and productivity/quality reporting tools; experience with Elation and Google Workspace is a plus.
- Excellent communication and coaching skills, with the ability to explain complex coding topics to both coding and non-coding audiences (internal and external).Proven ability to work independently, prioritize effectively, and manage a remote team.
Benefits
- 100% paid health, dental, vision premiums (for families too)
- Generous parental leave (4 months for birthing parent, 2 months for partners)
- 401(k) with company match
- Unlimited PTO + flexible schedule
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Inpatient Coder
Children's Healthcare of AtlantaChildren’s Healthcare of Atlanta is a nonprofit organization that provides a wide variety of healthcare services to meet the needs of children in its local co
• Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on medical records • Reviews the medical record, identifies diagnoses and procedures, and assigns ICD-10-CM diagnosis and ICD-10 PCS procedure codes • Abstracts diagnostic and PCS procedural codes and other pertinent data into the network system • Reviews/monitors assigned work queues and missing documentation encounters
• Review patient records and code dermatology procedures (ICD‑10, CPT, modifiers). • Submit clean claims and minimize rejection and denial rates. • Verify insurance eligibility and benefits before submission. • Work denials — identify root causes, appeal when appropriate, and prevent repeat issues • Manage A/R and follow up on unpaid claims and patient balances. • Handle patient billing questions professionally. • Collaborate with providers to improve documentation accuracy. • Maintain organized, confidential billing records. • Track payer changes and stay current on coding updates.
• Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings. • Review patient records to ensure all necessary information is included for billing purposes. • Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. • Follow up on unpaid claims and conduct medical collections as necessary. • Maintain accurate records of all billing transactions and communications with insurance companies and patients. • Collaborate with healthcare providers to resolve any discrepancies in billing or coding. • Stay updated on changes in medical billing regulations, coding practices, and insurance policies. • Utilize medical office systems and hospital EHRs to manage billing processes and maintain patient confidentiality. • Prepare for and respond to payer or government audits related to radiology services. • Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable. • Support contract negotiations as necessary and manage appeals and denials.
• Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures. • Review patient records to ensure all necessary information is included for billing purposes. • Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. • Follow up on unpaid claims and conduct medical collections as necessary. • Maintain accurate records of all billing transactions and communications with insurance companies and patients. • Collaborate with healthcare providers to resolve any discrepancies in billing or coding. • Stay updated on changes in medical billing regulations, coding practices, and insurance policies. • Utilize medical office systems effectively to manage billing processes and maintain patient confidentiality. • Prepare for and respond to payer or government audits related to podiatry services. • Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable. • Support contract negotiations as necessary and manage appeals and denials specific to podiatry coverage.
