Medical Coding Manager

Medical Coding Manager – Community Clinic NWA

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3 weeks ago—Be among the first 25 applicants.

This range is provided by Community Clinic NWA. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$70,000.00/yr - $80,000.00/yr

Community Clinic is seeking an experienced Medical Coding specialist to work as our Medical Coding Manager. This role is responsible for the development and execution of provider coding education and proper documentation according to guidelines to ensure coding compliance. The Coding Manager oversees all coding operations in a Federally Qualified Health Center (FQHC) clinic environment. In this leadership role, you will ensure the accurate and timely coding of clinical documentation and maintain strict compliance with coding guidelines and healthcare regulations.

Working closely with a team of medical coders, providers, and clinic administrators, you will implement quality control processes to uphold coding accuracy, optimize reimbursement, and support the clinic’s reporting requirements.

THIS POSITION IS REMOTE ONLY TO ARKANSAS AND OKLAHOMA RESIDENTS

ON-SITE OPTION IN SPRINGDALE, AR

• Serve as ICD-10 Subject Matter Expert (SME), providing on-going ICD‑10 training as it relates to clinical decision making.
  • Develop and conduct group, online, and/or on-the-job training that provides guidance for new and existing providers and staff
  • Stay up-to-date with the latest coding guidelines, payer policies, and healthcare regulations (e.g., CMS updates, annual ICD‑10/CPT changes).
• Manage and supervise the coding team, providing guidance, support, and training as needed.
  • Assign workloads and oversee daily coding operations to ensure all patient encounters are coded promptly and accurately for billing.
  • Conduct regular team meetings and one‑on‑one check‑ins to monitor performance and address any issues.
• Review and analyze clinical documentation and medical records in eClinical
  
  Works (eCW) to ensure accurate and appropriate assignment of ICD‑10‑CM, CPT, and HCPCS codes. Verify that coding meets official guidelines and payer rules, including FQHC‑specific billing requirements, to optimize reimbursements and avoid errors. Identify and address any coding discrepancies or compliance issues proactively.
• Conduct regular coding audits (e.g., monthly chart audits) to verify coding accuracy, completeness, and compliance with regulations.
• Develop audit protocols to ensure optimal coding for correct billing and identify areas for improvement.
• Analyze audit findings and provide feedback to coders and providers, implementing corrective action plans or additional training where necessary.
• Collaborate with the billing and revenue cycle management departments to streamline the billing process.
• Assist in reviewing claim denials or rejections related to coding and provide expertise to correct and resubmit claims as needed.
• Participate in meetings with finance or operations staff to discuss coding’s impact on reimbursements, and propose solutions to improve billing outcomes and maximize FQHC revenue while remaining compliant.
• Stay abreast of current coding trends and provide official communication of diagnosis/CPT codes or other relevant information to providers/staff/management in writing/email.
• Approve and initiate additions or changes related to diagnosis, CPT codes, or modifiers prior to updates taking place within the electronic health record system. Coordinate with IT on this effort so providers may access and select updated coding options in eCW.
• Generate E&M code utilization reports from eCW to monitor provider coding patterns and conduct checks of documentation for providers whose E&M patterns deviate from the norm or are lagging behind completion.
• Monitor and document timelines related to individual ICD‑10 and coding education as it takes place. Measures ongoing change management for specific provider performance improvement as present in the electronic health record.
• Assist with day‑to‑day coding duties as needed, including but not limited to reviewing provider…