HCC Coding Manager
AQuity Solutions
Coding ManagerAbout IKS Health: Founded in 2006, IKS Health enables providers to provide better, safe, and more efficient care at scale. With 17,000 employees, including over 1,500 physicians, and technologists, IKS Health provides solutions for over 150,000 providers across some of the largest and most prestigious healthcare provider groups in the country. Through our Provider Enablement Platform, IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most – the patient. We offer clinical, financial and administrative healthcare solutions for improved operational efficiency, better patient outcomes, optimized productivity, and revenue.Job Summary: The Coding Manager reports to the Director of Coding Services and leads the day-to-day delivery of remote coding services for an assigned portfolio of Value-Based Care (VBC) clients. This seasoned leader brings 5–7 years of hands-on management experience in medical coding operations and is accountable for coder productivity, coding accuracy, client satisfaction, and contractual SLA performance across domestic and global teams. The Coding Manager directs client onboarding, resource scheduling, workload and capacity planning, and the accurate reporting of time and productivity that supports client billing and invoicing. Working closely with the Coding Audit, Capacity Management, and Global Coding Operations teams, the role turns audit findings into corrective action and continuous improvement. The ideal candidate is highly organized, excels at managing competing priorities and deadlines, communicates promptly and professionally (responding to all client communications within one business day), and is proficient in Microsoft Office and Google Workspace, especially Excel/Google Sheets for metrics and reporting. Occasional travel may be required.Client Management & Service DeliveryEnsure IKS Health meets or exceeds all contract requirements, SLAs, and turnaround-time (TAT) commitments for assigned clientsUphold the IKS Health mission, vision, and values; drive performance against KLAS metrics, including service, responsiveness, and client loyaltyParticipate in client kick-off calls with Sales/Client Development to ensure a seamless transition from sales to operationsReview discovery information to assess volume, workload, specialties, and staffing needs; coordinate and oversee onboarding of coding staff, including system access and client-specific trainingManage the day-to-day client relationship and operations as the primary point of contact for coding deliveryMonitor work queues, backlogs, DNFB, and productivity metrics daily; identify coverage gaps early and present options for rapid resolution, partnering with the Capacity Management teamServe as liaison for client coding questions; coordinate with the Coding Audit team on quality efforts and audit outcomesProactively identify performance or compliance issues that could create an at-risk account; escalate appropriately to leadership with a documented mitigation planProvide coder schedules, weekly productivity and quality metrics, and a formal monthly reporting package with summary findings and improvement action plansLead status calls with client leadership, document action items, and resolve issues within agreed timelinesRespond to all client communications (email, phone, ticketing) within one business day of receiptDeliver project status reports to IKS Health operational leadershipCoding Team Leadership & Performance ManagementLead, coach, and develop a team of up to 50 direct and indirect reports, including supervisors, domestic coders, and global codersSet clear expectations; monitor productivity, accuracy, and schedule adherence daily using IKS Health activity and workforce toolsValidate the accuracy of productivity and time data that drives client billing and invoicingHold coders accountable to expected schedules (excluding independent contractors); approve and manage time off and coordinate backup coverage for vacation, sick time, holidays, and other leavePartner with Global Coding Operations on coverage, access, and training of global coders; while global coders do not report to domestic leadership, the Coding Manager is accountable for their outcomes on assigned clientsReview coder accuracy rates with the Coding Audit team; deliver targeted education and coaching to close knowledge gapsInitiate and manage Corrective Action Plans for coders not meeting performance standards, ensuring each coder understands the plan, timeline, and expectationsConduct regular team meetings to address impactful issues, guideline updates, and client expectationsSupport hiring, onboarding, recognition, and retention programs to build an engaged, high-performing teamReinforce KLAS objectives, including customer service and client responsiveness, across the teamBusiness Analytics & ReportingGather and analyze data for the monthly Coding Business Unit meeting, including capacity and utilization modeling, benchmarking, and trend analysisBuild and maintain productivity, quality, and staffing trackers and dashboards in Excel and Google SheetsUse data to forecast staffing needs, identify process improvement opportunities, and support P&L objectivesCoding Expertise & Regulatory ComplianceServe as the subject-matter expert for ICD-10-CM/PCS, CPT, HCPCS, and HCC/risk adjustment coding guidelines relevant to assigned clientsStay current on official coding guidelines, CMS regulations, payer policies, and industry changes; communicate updates to the team promptlyEnsure IKS Health compliance with all regulatory and accreditation requirements, HIPAA privacy and security, and the AHIMA Standards of Ethical CodingMaintain all required CEUs and active certifications/credentialsOperational Excellence, Organization & CommunicationManage multiple clients, priorities, and deadlines at once in a fast-paced remote environment while maintaining attention to detailPlan and prioritize work effectively; manage time and calendars to meet reporting deadlines, client meetings, and SLA commitmentManage a high volume of email and messaging professionally and promptly; keep clear, organized records of client and team communicationsCreate, maintain, and distribute policies, procedures, workflows, and process documents to domestic and global team leaders and members; store and update all documentation on Google DriveUse Microsoft Office and Google Workspace tools daily to produce reports, presentations, schedules, and correspondenceIKS Health ExcellenceDemonstrate a commitment to excellence in serving the clientModel the IKS Health Core Values: Integrity, Quality, Team, Continuous Improvement, Expertise, and InnovationEducation: Bachelor's degree in Health Information Management, Health Administration, or a related field preferred. Equivalent combination of coding-focused experience and leadership will be considered in lieu of a degree.Experience: 5–7 years of progressive management experience leading medical coding teams (coding manager, coding supervisor, or HIM management role). 7+ years of total medical coding experience; outpatient, professional fee, inpatient, and/or risk adjustment (HCC) coding preferred. Experience managing remote and/or offshore coding teams of 20+ staff. Client-facing experience in a coding services, revenue cycle, or healthcare consulting organization preferred. Experience supporting Value-Based Care, Medicare Advantage, or risk adjustment programs a plus.Coding & Business KnowledgeExpert knowledge of ICD-10-CM/PCS, CPT, HCPCS, E/M guidelines, and HCC/risk adjustment methodologyWorking knowledge of coding compliance, CMS regulations, HIPAA, and coding audit processesBusiness analytics, including P&L awareness, capacity and utilization models, productivity standards, and benchmarkingAbility to adapt quickly to multiple HIM/EHR platforms (e.g., Epic, Cerner/Oracle Health, Meditech) and encoder/CAC tools (e.g., 3M, Optum)Proactive identification of unusual client practices that may affect production, process, workflow, quality, or complianceTechnology ProficiencyAdvanced Microsoft Excel and Google Sheets skills: formulas, pivot tables, VLOOKUP/XLOOKUP, conditional formatting, charts, and data validationProficient in Microsoft Office (Word, PowerPoint, Outlook) and Google Workspace (Gmail, Drive, Docs, Sheets, Slides, Calendar, Meet)Comfortable with virtual collaboration tools (Microsoft Teams, Zoom, Slack), ticketing systems, and workforce/productivity tracking toolsStrong document management practices, including version control and organized shared drivesCore CompetenciesExceptional multitasking ability; manages competing priorities across multiple clients while maintaining focus and accuracy
$190.8k - $300.3k
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