Accountabilities:

Supervise and support billing and coding operations while ensuring accuracy, compliance, and efficiency across daily workflows and team performance.

• Oversee daily billing and coding activities, ensuring adherence to departmental standards for accuracy, compliance, and timely claim submission.
• Monitor productivity, quality, and operational performance, identifying trends and recommending process improvements.
• Provide training, coaching, and ongoing education to coding and billing staff on guidelines, updates, and best practices.
• Develop and deliver training materials and educational resources related to coding standards, documentation, and regulatory updates.
• Serve as a primary resource for billing and coding inquiries, resolving issues and escalating complex cases when necessary.
• Collaborate with cross-functional teams including operations, eligibility, and collections to resolve billing-related issues.
• Conduct audits and quality reviews to ensure compliance with CPT, ICD-10, HCPCS, and payer regulations.
• Support reporting, data preparation, and month-end billing processes.
• Lead or support special projects aimed at improving workflows and operational efficiency.

Requirements:

The ideal candidate is an experienced coding professional with strong leadership abilities, deep technical coding knowledge, and a proven ability to manage teams in a regulated healthcare environment.

• High School Diploma or equivalent required.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
• 3+ years of direct leadership experience managing teams of 5 or more staff members.
• 3+ years of experience as a medical coder in a healthcare setting.
• Strong expertise in CPT, HCPCS, ICD-10, LCDs, NCDs, CMS guidelines, and NCCI regulations.
• Solid understanding of payer policies and regulatory compliance requirements.
• Proficiency in Microsoft Office, including moderate Excel skills.
• Strong analytical skills with the ability to interpret data and drive operational improvements.
• Excellent communication and interpersonal skills for cross-department collaboration and staff development.
• Strong research ability to stay current with coding and regulatory updates.
• Preferred experience in podiatry, orthopedic coding, or California IPA environments.

Benefits:

• Salary range: $55,000 – $65,000
• Opportunity to lead and develop a growing billing and coding team
• Hands-on leadership role in a regulated healthcare operations environment
• Exposure to cross-functional collaboration across multiple departments
• Ongoing training and professional development opportunities
• Involvement in process improvement and operational optimization initiatives
• Stable healthcare industry position with compliance-focused responsibilities