The role is responsible for coordinating the accurate assignment of professional services codes, maintaining regulatory compliance, and supporting revenue cycle integrity. This position also plays a key role in setting operational priorities, participating in audit initiatives, and providing targeted education to the coding team based on audit findings and performance trends.
Bachelor’s degree in Health Information Management or a related field (or equivalent experience)
Minimum of five (5) years of coding and/or auditing experience in an acute care setting
At least three (3) years of supervisory or management experience
One or more of the following credentials is required:
Certified Professional Coder (CPC)
Multiple specialty-specific certifications from AAPC
Certified Coding Specialist – Physician-based (CCS-P)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Federal, state, and local coding regulations
ICD-10-CM/PCS, CPT (including E/M), and HCPCS coding guidelines
Medicare, Medicaid, and commercial payer documentation and billing regulations
Revenue cycle workflows, including charge capture, code edits, auditing, denials management, and documentation improvement
Budget principles and operational planning
Information governance, confidentiality, and patient rights
Data collection and analysis methodologies
Electronic health record (EHR) systems and encoder/CAC platforms (e.g., 3M 360 or similar)
Hospital safety practices, infection control standards, and emergency response procedures
Effective team leadership and staff development
Conflict resolution and performance management
Data analysis and interpretation of medical and statistical reports
Establishing and implementing performance standards
Problem-solving and operational improvement
Strong communication skills across diverse teams and stakeholders
Ability to build and maintain collaborative working relationships
Proficient use of computer systems and data management tools
This position offers the opportunity to lead a high-performing coding team while driving operational excellence and compliance within a dynamic healthcare environment.