Medical Coding Manager at SMT INC

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Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

110000.0

Posted On

03 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Coding, People Leadership, ICD-10-CM, CPT, HCPCS, Coding Compliance, Audit Oversight, Revenue Cycle Management, KPI Management, Workflow Optimization, EHR Proficiency, Performance Management, Cross-functional Collaboration, Denial Management, Regulatory Compliance, Staff Training

Industry

Hospitals and Health Care

Description

About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence. Position Summary The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity. Key Responsibilities Team Leadership & Development Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability Support recruiting, onboarding, training, and competency validation for new and existing team members Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards Address performance gaps through structured coaching and corrective action plans as needed Operational Oversight Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties Ensure appropriate work distribution based on complexity, volume, and team capacity Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements Compliance & Audit Oversight Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure Maintain audit-ready processes and participate in compliance initiatives, education, and reporting Revenue Cycle & KPI Management Monitor team KPIs, including coding quality scores, productivity, and turnaround times Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements Cross-Functional Collaboration Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation Serve as a resource for coding guidance, escalation support, and interpretation of coding rules Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements Qualifications 5+ years of professional medical coding experience across one or more specialties 3-4+ years of people leadership experience preferred Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services Strong understanding of coding compliance principles and audit readiness expectations Demonstrated ability to manage workflows, track metrics, and drive continuous improvement Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms Preferred Experience Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix Experience managing coding operations in a multi-specialty or service-based environment Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk Pay Range $85,000—$110,000 USD Benefits Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Responsibilities

Provides operational leadership for medical coding activities to ensure accuracy, productivity, and compliance across various specialties. Partners with billing and clinical teams to reduce denials and protect revenue integrity through audit oversight and KPI management.