Senior Manager Coding Audits & Education

Senior Manager Coding Audits & Education

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This range is provided by Children's National Hospital. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$/yr - $/yr

The Senior Manager will work under the direction of the Director of Health Information Management, Coding and Audit to provide strategic and operational leadership for all organizational coding functions, including hospital technical coding (inpatient and outpatient), professional coding, coding quality audits, coding education, and coding denial management. This role ensures accurate, compliant, and timely coding to support optimal revenue cycle performance and high-quality data reporting.

The Senior Manager oversees a multidisciplinary coding team, drives performance improvement initiatives, and partners closely with clinical, revenue cycle, compliance, and financial leadership. The Senior Manager will be responsible for operational success and will assist the Director to define strategy/direction in accordance with national standards and CNH policies and procedures.

Minimum Education

• Bachelor's Degree Business Administrative, Health Administration, Health Information Management, Finance, or related field (Required)

• Master's Degree Business Administrative, Health Administration, Health Information Management, Finance, or related field (Preferred)

Minimum Work Experience

• 7 years - 7+ years of progressive coding experience, with at least 3 years in a supervisory or management role.

• Demonstrated expertise in hospital inpatient, outpatient, and professional coding.

• Experience managing coding QA programs, education functions, and denial reduction initiatives.

• Strong understanding of federal and payer regulations, documentation requirements, and revenue cycle workflows.

Required Skills/Knowledge

• Strong understanding of coding processes, coding guidelines and their relation to the overall Revenue Cycle data flow/third party reimbursement

• Ability to communicate professionally with physicians, third party payers and other organization members about coding principles and processes

• 3M, Epic and/or Cerner Millennium

• Excellent written and verbal communication skills.

• Demonstrated leadership and personnel management skills

• Demonstrated change management skills

• Maintains relationships with internal and external stakeholders.

• Commitment to compliance, accuracy, and high-quality data reporting

• Familiar with department budget and financial management, and personnel management.

• Familiarity with population health strategies, alternative payment models, and care coordination strategies preferred.

Required Licenses And Certifications

• Certified Coding Specialist (CCS) Upon Hire (Required)

• Similar Medical Coding Certification(s) - CIC and/or CPC.

Functional Accountabilities

Strategic and Financial Planning

• Contribute to the strategic plan for department services, including short-term and long-term objectives

• Collect and analyze customer and stakeholder feedback to evaluate department effectiveness and incorporate findings into plans to modify program and external communication.

• Work with the Director, Vice President and other involved staff to develop ways to capture and report financial performance of the Department.

• Participate in financial planning and budget preparation. Work with Director to manage department budget to ensure financial stability of the department and develop recommendations to meet budget requirements.

• Work with financial personnel to monitor the financial performance of teams within the department to ensure compliance with budget; track, monitor, and evaluate budget for all line items.

Leadership & Department Management

• Provide operational oversight and day-to-day leadership of entire department including technical coding (inpatient & outpatient), professional coding, coding edits, coding auditing, coding education, and coding denial management functions.

• Establish team structure, role definitions, and workload…