Job Description
The GRS Medical Coding Manager is responsible for overseeing the end-to-end coding process managed by external vendors. This role will serve as the primary liaison between our organization and outsourced coding partners, ensuring accuracy, compliance, and timely delivery while driving excellence in internal operations and customer satisfaction.
Essential Duties & Responsibilities
Vendor Relationship Management
- Cultivate and manage strong partnerships with outsourced medical coding vendors.
- Oversee contractual obligations, SLAs, and KPIs, ensuring vendor accountability.
- Lead performance review meetings, issue resolution, and process improvement initiatives with vendors.
Operational Oversight
Monitor and assess internal workflows that intersect with outsourced coding functions.Collaborate cross-functionally (, data analytics, product, compliance) to optimize coding accuracy, throughput, and turnaround times.Track key operational metrics and report on performance trends.Prepare reports for management regarding coding productivity, accuracy, and compliance.Develop and conduct training sessions for new team members for both practice management software and other Electronic Health Record systems.Lead coding-related meetings and represent the coding function in cross-functional forums with the coding teams.Develop and maintain Standard Operating Procedures (SOPs) and Work InstructionsSkills & Requirements
Customer Service Excellence
Serve as an internal advocate for customer success related to coding operations.Ensure that outsourced coding supports high-quality customer experience and aligns with overall service goals.Work with client-facing teams to proactively address coding issues and identify enhancement opportunities.Compliance and Quality Control
Ensure all coding practices meet CMS, payer, and industry regulatory standards.Facilitate regular audits and quality checks to ensure coding accuracy and documentation integrity.Implement corrective actions and improvements based on audit findings.Foster a culture of continuous learning and improvement within the coding team.Review and validate coding for consistency and regulatory compliance.Education and Experience
Bachelor’s degree in Health Information Management, Business, or related field or comparable work experience.
Certification in medical coding (CPC, CCS, RHIT, or equivalent).
Five (5)+ years of experience in medical coding operations, including vendor or team management.
Skills, Knowledge, and Abilities
Strong understanding of healthcare billing, coding guidelines (ICD-10, CPT, HCPCS), and regulatory requirements. Excellent verbal and written communication, problem-solving, and organizational skills. Strong leadership skills to manage and develop a team effectively. Ability to analyze data and identify trends to drive improvements. Precision in coding and understanding the importance of accuracy in medical documentsWork Environment / Physical Demands
While at work, this position is primarily a sedentary job and requires that the associate can work in an environment where they will consistently be seated for the majority of the workdayThis role requires that one can sit and regularly type on a keyboard the majority of the workdayThis position requires the ability to observe a computer screen for long periods of time to observe their own and others’ work, as well as in-coming and out-going communications via the computer and / or mobile devicesThe role necessitates the ability to listen and speak clearly to customers and other associatesHere’s what we can offer you in exchange for your amazing work :
Competitive payMedical, dental and vision benefitsMatching 401(k)Generous paid time-off programsEducation reimbursementGrowth potential for your careerCorporate discountsAt Greenway, we strive to imagine, empower, engage, and inspire. Join us!
