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Coding Manager – Epic Professional Billing
Location
Illinois
Posted
1 day ago
Salary
$90K - $130K / year
Seniority
Lead
Job Description
Coding Manager – Epic Professional Billing
Huron
• Provide oversight of global professional coding team performance • Act in the role of professional coding point of contact for multiple clients • Manage relationships with global professional coding leadership • Maintain EPIC coding edit work queues, resolving coding edits to ensure accurate and timely claims submission • Support global professional coding teams through Epic system analytics and reporting • Provide guidance on CMS and commercial payer regulations, ensuring adherence to current coding and billing standards • Conduct ongoing compliance monitoring and risk assessments to prevent coding errors and revenue leakage • Serve as a coding subject matter expert for Revenue Cycle Management (RCM) teams, resolving complex coding and denial-related issues • Supervise and support professional coding staff including hiring, onboarding, scheduling, and performance management • Monitor coding productivity, accuracy, and turnaround time for coding completion • Ensure timely resolution of coding-related edits and billing holds • Manage multiple work demands simultaneously • Conduct coding audits and accuracy reviews, ensuring compliance with ICD-10, CPT/HCPCS, and applicable CMS/OIG regulations • Address coding-related denials and partner with billing and A/R teams to identify root causes • Stay current with regulatory and coding updates and disseminate guidance to staff • Ensure coding policies & procedures are current and reflect the most compliant/accepted practices for professional coding • Ensured compliance of federal, state and HIPAA guidelines • Work closely with HIM, Revenue Integrity, CDI, Billing, and Clinical departments to ensure clean claim generation • Support charge description master (CDM) accuracy through collaboration with revenue integrity • Coordinate with IT on encoder, EHR, and CAC system optimization • Provide regular coder education on coding updates, documentation changes, and audit findings • Mentor coding leads or senior coders to support succession planning and career development • Work closely with physicians, nurses, and other healthcare professionals to ensure timely and accurate documentation that reflects the care provided to patients. Obtain clarification as appropriate
Job Requirements
- Current permanent US Work Authorization required
- Associate or bachelor’s degree in health information management or healthcare administration
- 5+ years of experience in professional medical coding with an additional 2+ years in a coding leadership role
- AAPC Certification Required: CPC
- Epic experience and proficiency
- Experience with 3M/Solventum Encoder
- Previous experience managing remote coding teams
- Understanding of multiple specialties e.g. E/M, Emergency Medicine, Family practice, Hospitalists, OB, critical care, ancillary, IV infusion, outpatient departments, Urgent Care, Primary Care, Inpatient E/M, Pediatrics, Observation, Ancillary services, and claim edit work queues
- Strong knowledge of HCCs, NCCI edits, and medical necessity concepts
- Strong communication skills and desire to work as part of a team in a partnership role
- Advanced excel skills, working knowledge of advanced Tableau and/or other data mining and data visualization tools, report writing and workflow design
Benefits
- Medical, dental, and vision coverage
- 401(k) plan with generous employer match
- Employee stock purchase plan
- Generous Paid Time Off policy
- Paid parental leave and adoption assistance
- Wellness Programs
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