Medical Billing Manager

The Opportunity :

The Manager of Medical Billing & Coding will lead the strategy, operations, and compliance of the Company’s medical billing and coding functions. This role ensures accurate, timely, and compliant billing practices, with a focus on optimizing revenue cycle performance, enhancing payer-provider alignment, and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing, coding standards (ICD-10, CPT, HCPCS), and payer regulations, along with strong leadership and cross-functional collaboration skills.

Job Responsibilities :

Act as a resource

• Demonstrate the ability to request, review, and code medical services from reports and notes in order to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations.
• Ability to understand CMS NCD, LCD guidelines to support coding decision making
• Identify clinical documentation deficiencies and recommend methods for resolution that satisfy regulatory and compliance requirements.
• Perform medical chart audits, meeting minimum department productivity standards.
• Exercise mature judgment and maintain confidentiality in all activities

Coding and compliance

Data collection and reporting

Data entry

General support

Perform other duties as assigned.

Process improvement

Independently researches coding questions, documents findings, makes recommendations and provides documentation that supports the recommended solutions.

Provides professional and courteous support to Revenue cycle and commercial teams through email, phone and in-person contact, answering questions and providing supporting documentation.

Provides timely and accurate answers to inquiries presented by customers on clinical coding issues.

Maintain a positive attitude and productive relationship with peers, physicians, coworkers and management.

Provides updates and status reports to management.

Participates in coding / auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding.

Required Qualifications :

Minimum of 7 years in Revenue Cycle Management

Experienced in change entry and coding

Active coding certification

Preferred Qualifications :

Bachelor’s degree in healthcare administration, Business, or related field

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.

7+ years of progressive experience in medical billing and coding

Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance.

Experience with electronic health records (EHR), billing software, and revenue cycle management tools.

Excellent communication, analytical, and problem-solving skills.