Medical Records Coding Manager

Position: Medical Records Coding Manager

Location Requirement: Must reside in West Texas or Eastern New Mexico

Overview

The Medical Records Coding Manager is responsible for ensuring the accuracy, compliance, and confidentiality of patient health records. This role oversees daily coding operations, supports cross-functional healthcare teams, and ensures all coding practices align with current ICD and CPT standards. The manager plays a key role in staff development, process improvement, and regulatory compliance within the revenue cycle.

Essential Responsibilities

• Lead, evaluate, and support coding team members, including hiring, training, and disciplinary actions, in partnership with the Revenue Cycle Director.
• Assign accurate diagnostic and procedural codes (ICD/CPT) based on provider documentation.
• Validate DRG assignments and coding accuracy to optimize claims processing and ensure proper reimbursement.
• Maintain current knowledge of ICD and CPT guidelines, coding updates, and regulatory requirements.
• Ensure coding staff receive timely training on updates and classification changes.
• Communicate with physicians and providers to clarify documentation, provide feedback, and reinforce compliance standards.
• Interpret and analyze patient records to determine billable services in accordance with payer guidelines.
• Collaborate with department leaders on code implementation and updates to charge documentation.
• Oversee coding operations and vendor performance to ensure efficiency and adherence to quality benchmarks.
• Promote data integrity, accuracy, and workflow excellence in all coding functions.
• Ensure confidentiality and HIPAA compliance in all aspects of patient and staff information handling.

Education & Experience

• High school diploma or equivalent required
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required
• 3–5 years of coding experience (preferred in a Critical Access Hospital setting)
• RHIT or RHIA certification preferred

Key Skills & Competencies

• Expertise in ICD, CPT, and DRG coding
• Strong understanding of medical terminology and third-party payer regulations
• Financial and operational management in a healthcare setting
• Proven leadership and team development abilities
• Effective communication and collaboration with cross-functional teams
• Strategic thinking and process improvement mindset
• High standards of ethical conduct and confidentiality
• Project management and problem-solving capabilities