Coding Manager at Urgent Team

Urgent Team is looking for a Coding Manager to join our corporate office in Nashville, TN (Green Hills). This is a hybrid role, requiring at least two days per week in the office after completing training onsite. JOB SUMMARY:Coding Manager for the Revenue Cycle Management department is responsible for managing the end-to-end coding and billing process to ensure compliance with industry standards, regulations, and accurate reimbursement. This role will involve close collaboration with third-party vendors, overseeing their performance, and ensuring the integration of AI tools in the coding process to improve efficiency and accuracy. This role will be instrumental in driving continuous improvement, optimizing workflows, and managing relationships with external vendors while maintaining high-quality coding standards. KEY RESPONSIBILITIES: The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned. Vendor Management: -Oversee the performance of third-party coding vendors to ensure adherence to contractual obligations, coding guidelines, and service level agreements (SLAs). -Develop and manage strong working relationships with vendors, ensuring clear communication and issue resolution. -Monitor vendor performance metrics, ensuring high-quality work, timely deliveries, and compliance with all healthcare regulations (e.g., ICD-10, CPT, HCPCS). -Conduct periodic audits of vendor processes, provide feedback, and collaborate on performance improvement plans. AI Systems Integration: -Collaborate with the IT department and other relevant stakeholders to integrate and optimize AI tools in the revenue cycle management process. -Monitor AI-generated coding suggestions and work with the coding team to validate, adjust, and improve the AIs accuracy and efficiency. -Continuously assess the impact of AI on coding productivity, identifying areas where AI can be leveraged to increase efficiency and reduce errors. -Provide training and guidance to coding teams on the use of AI tools to enhance productivity and compliance. Revenue Cycle Management: -Oversee accurate coding for all medical procedures, diagnoses, and services, ensuring all claims are coded correctly for optimal reimbursement. -Ensure compliance with federal, state, and payer-specific regulations, including those related to coding, documentation, and billing practices. -Identify trends in coding errors, analyze root causes, and implement corrective actions to improve accuracy. -Collaborate with billing, compliance, and auditing teams to ensure seamless handoffs between coding and billing operations. Reporting & Analysis: -Generate and present reports on coding performance, vendor outcomes, and AI system effectiveness to senior leadership. -Use data analytics to identify trends, provide actionable insights, and make recommendations for process improvements. -Monitor key performance indicators (KPIs) related to coding accuracy, revenue cycle efficiency, and vendor performance. Compliance & Risk Management: -Ensure all coding processes comply with healthcare regulations, including HIPAA, CMS guidelines, and payer-specific rules. -Stay updated on changes in coding practices, medical billing regulations, and technological advancements (such as AI) affecting the coding process. -Work with internal and external auditors to ensure that coding practices are in full compliance with all applicable laws and regulations. Practice and adhere to the Code of Conduct, Mission and Valued Behaviors. WHAT'S REQUIRED? Bachelors degree in Healthcare Administration, Business, or a related field (Masters preferred). Minimum of 5-7 years of experience in medical coding, with at least 2-3 years in a managerial role. Proven experience managing third-party vendors, particularly in a healthcare or revenue cycle management environment. Strong knowledge of AI integration within the healthcare industry, particularly in coding applications. In-depth understanding of ICD-10, CPT, HCPCS, and other coding systems. Certification in Medical Coding (e.g., CPC, CCS, or similar) required. BENEFITS INCLUDE: Competitive Salary* Medical, Dental, and Vision Options Retirement savings plans Paid Time Off and MORE! INTERVIEW PROCESS: Initial Phone Screen Video Interview with Hiring Manager Peer Interview ABOUT URGENT TEAM:The Urgent Team Family of Urgent Care & Walk-in Centers, an on-demand healthcare company, was created to provide quality, affordable and, convenient walk-in medical and telemedicine service in suburban neighborhoods, rural towns, and mid-size cities across the Southeast. All of our 80+ centers are have achieved the Urgent Care Association Accreditation, the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organizations overriding commitment to safety, quality and scope of services. Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities. Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care.

Created: 2025-03-11