Medical Coding Manager Job Description [Updated for 2025]

In the healthcare industry, the importance of Medical Coding Managers is paramount.

As the medical sector progresses, the demand for knowledgeable individuals who can organize, oversee, and protect our medical coding systems grows increasingly urgent.

But let’s delve deeper: What’s truly expected from a Medical Coding Manager?

Whether you are:

• A job seeker attempting to understand the core of this role,
• A hiring manager defining the perfect candidate,
• Or simply fascinated by the behind-the-scenes of medical coding,

You’re in the right place.

Today, we present a customizable Medical Coding Manager job description template, designed for effortless posting on job boards or career sites.

Let’s dive right into it.

Medical Coding Manager Duties and Responsibilities

Medical Coding Managers play a crucial role in healthcare facilities as they ensure all medical codes are accurately applied to healthcare services provided to patients.

They have an important part in maintaining the financial health of the organization, compliance with regulations and patient record accuracy.

Their duties and responsibilities include:

• Overseeing and coordinating the medical coding team to ensure efficiency and accuracy in medical coding
• Reviewing patients’ records and assign appropriate medical codes for each diagnosis and procedure
• Ensuring that medical coding adheres to all laws and regulations regarding medical reporting and privacy
• Performing regular audits and coding reviews to ensure all documentation is accurate and precise
• Providing training and guidance to coding staff to ensure a well-informed team
• Assigning and sequencing all codes for services rendered
• Collaborating with billing department to ensure all bills are satisfied in a timely manner
• Tracking the statuses and outcomes of claims using the appropriate software applications
• Communicating with medical staff for clarification on various medical procedures and diagnoses
• Maintaining up-to-date knowledge on coding guidelines and reimbursement reporting requirements
• Providing feedback to providers regarding coding and documentation guidelines

 

Medical Coding Manager Job Description Template

Job Brief

We are seeking a knowledgeable and experienced Medical Coding Manager to oversee our medical coding team.

The Medical Coding Manager will be responsible for maintaining the highest level of accuracy in coding and compliance procedures, managing the day-to-day coding operations, and improving coding processes.

The ideal candidate has a solid understanding of medical terminology and coding procedures, excellent leadership skills, and a dedication to ensuring a high level of accuracy in all coding activities.

 

Responsibilities

• Oversee and manage the daily operations of the medical coding department
• Ensure coding compliance with relevant laws and regulations
• Perform regular audits to ensure accuracy and quality in coding
• Provide training and guidance to coding team members
• Stay current with changes in coding guidelines and reimbursement regulations
• Collaborate with billing and finance departments to ensure accurate invoicing
• Address and resolve any coding-related issues
• Implement strategies to improve coding processes and procedures

 

Qualifications

• Proven experience as a Medical Coding Manager or similar role
• Comprehensive knowledge of medical terminology and coding procedures
• Familiarity with health insurance and reimbursement procedures
• Proficient with medical coding software and databases
• Excellent leadership and team management skills
• Strong attention to detail
• Professional certification such as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) is preferred
• A degree in health information management or a related field is preferred

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Medical Coding Manager
• Work Environment: Office setting with potential for remote work. Some travel may be required for industry conferences or team meetings.
• Reporting Structure: Reports to the Director of Medical Records or Health Information Management Director.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $60,000 minimum to $85,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Medical Coding Manager Do?

Medical Coding Managers typically work in healthcare organizations such as hospitals, clinics, and health insurance companies.

They can also work as consultants for healthcare software companies.

They work closely with a team of medical coders, health information management professionals, and healthcare providers to ensure accurate translation of diagnoses, treatments, procedures, and services into a standardized code.

Their job is to oversee the coding department, ensuring all codes are accurate, compliant with regulations, and completed in a timely manner.

They are responsible for managing coders’ performance, providing training and feedback, and implementing process improvements.

They are also tasked with staying up-to-date with changes in coding standards and regulations and updating the team’s practices accordingly.

In addition, Medical Coding Managers often liaise with other departments in the healthcare organization, such as billing and finance, to ensure the accurate flow of information and resolution of any coding-related issues.

Their role is crucial in healthcare revenue cycle management, as accurate coding affects billing, reimbursement, and regulatory compliance.

 

Medical Coding Manager Qualifications and Skills

A Medical Coding Manager should have the skills and qualifications that align with your job description, such as:

• Comprehensive knowledge of medical terminology, anatomy and physiology, pharmacology, and pathophysiology for accurate coding.
• Strong understanding of coding software tools, medical procedures, and insurance policies to ensure accurate and efficient coding.
• Exceptional organizational skills for managing medical records, handling multiple tasks, and maintaining a high level of accuracy.
• Excellent leadership and management skills to guide, motivate and supervise a team of medical coders.
• Strong analytical and problem-solving skills to detect and resolve coding errors or discrepancies.
• Superb communication skills for coordinating with healthcare providers, interacting with insurance companies, and explaining coding procedures to subordinates and colleagues.
• Ability to work under pressure and adhere to strict deadlines while ensuring accuracy in data entry.
• Adherence to legal and ethical standards pertaining to patient confidentiality and data management.
• Proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems.

 

Medical Coding Manager Experience Requirements

Medical Coding Managers generally have a strong background in healthcare administration, specifically in medical coding.

Most have a bachelor’s degree in health administration, health information management, or a related field.

Entry-level candidates may have 1 to 2 years of experience in medical coding, often gained through an internship or part-time role in a healthcare facility.

These professionals can also gain on-the-job experience in roles such as Medical Coder, Billing Specialist, or Health Information Technician.

Candidates with more than 3 years of experience often enhance their understanding of medical coding systems and healthcare regulations in roles such as Medical Coding Specialist or Medical Billing and Coding Supervisor.

They are likely to have a certification, such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential.

Those with more than 5 years of experience generally have some supervisory or management experience in their background.

They may be well-versed in overseeing coding operations, auditing medical records, and training coding staff.

At this level, they may be ready for a Medical Coding Manager position.

Continuing education is essential in this role, as medical coding regulations and guidelines are constantly changing.

Therefore, experienced Medical Coding Managers often participate in ongoing training and professional development programs to stay updated.

 

Medical Coding Manager Education and Training Requirements

Medical Coding Managers typically require a bachelor’s degree in health information management or a related field.

They also need to have a solid background in medical coding systems, such as the International Classification of Diseases (ICD) or Current Procedural Terminology (CPT).

In addition to this, a professional certification such as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or a Registered Health Information Administrator (RHIA) is usually required.

Some positions may require Medical Coding Managers to have a master’s degree in health information management or a related discipline, especially for roles in larger healthcare facilities or for higher-level management positions.

Further specialization can be achieved by obtaining additional certifications in areas such as risk adjustment coding or medical auditing.

Additionally, Medical Coding Managers should have several years of experience in a medical coding role, and experience in a leadership or management role can also be beneficial.

Continuing education is crucial in this role due to constant changes in healthcare regulations and coding standards.

Therefore, a dedication to ongoing learning and staying updated is vital for this role.

 

Medical Coding Manager Salary Expectations

A Medical Coding Manager earns an average salary of $66,398 (USD) per year.

The earnings can vary significantly based on factors like experience, certifications, the size and type of the healthcare facility, and the geographical location.

 

Medical Coding Manager Job Description FAQs

What skills does a Medical Coding Manager need?

A Medical Coding Manager should possess strong knowledge of medical terminology, coding procedures and regulations, as well as healthcare compliance requirements.

They need to have exceptional analytical skills to interpret and understand medical record documentation and formulate appropriate coding.

Additionally, they should possess strong leadership skills, have the ability to manage a team, and possess good communication skills for interacting with healthcare professionals.

 

Do Medical Coding Managers need a degree?

Yes, Medical Coding Managers usually need a bachelor’s degree in Health Information Management or a related field.

Some also pursue a master’s degree to advance their careers.

Apart from the degree, they also need to have relevant certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).

 

What should you look for in a Medical Coding Manager resume?

A resume for a Medical Coding Manager should reflect their solid foundation in medical coding, compliance, and management.

Look for relevant certifications, formal education in health information management, and prior experience in the medical coding field.

Leadership experience is also essential as they will be managing a team.

 

What qualities make a good Medical Coding Manager?

A good Medical Coding Manager should have meticulous attention to detail for accurate coding, strong analytical skills to interpret complex medical information, and excellent organizational skills to manage multiple tasks.

They should also exhibit strong leadership qualities, efficient communication skills, and a commitment to continuous learning due to the constantly changing nature of medical codes and regulations.

 

Is it difficult to hire Medical Coding Managers?

Hiring a Medical Coding Manager can be challenging as it requires finding a professional with a unique blend of medical coding knowledge, management skills, and a deep understanding of healthcare compliance.

The role also requires a high degree of accuracy and integrity, given its impact on health care providers’ revenue cycle.

Therefore, a thorough recruitment process is essential to ensure the right fit for the position.

 

Conclusion

And there you have it.

Today, we’ve revealed the true essence of what it means to be a Medical Coding Manager.

And would you believe it?

It’s not just about understanding medical jargon and codes.

It’s about weaving a healthier future, one medical code at a time.

With our ultimate Medical Coding Manager job description template and real-world examples, you’re ready to take the plunge.

But why stop here?

Immerse yourself further with our job description generator. It’s your stepping stone to creating detailed job listings or fine-tuning your resume to perfection.

Remember:

Each medical code is a stitch in the fabric of healthcare.

Let’s weave that healthier future. Together.

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