Medical Coding Manager
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Alteva RCM
US
Summary
Provide operational leadership for medical coding activities to ensure accuracy, productivity, and compliance across various specialties. Partner with billing and clinical teams to reduce denials and protect revenue integrity through audit oversight and KPI management.
Job Description
About Us
At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.
Position Summary
The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.
Key Responsibilities
Team Leadership & Development
- Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability
- Support recruiting, onboarding, training, and competency validation for new and existing team members
- Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards
- Address performance gaps through structured coaching and corrective action plans as needed
Operational Oversight
- Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards
- Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties
- Ensure appropriate work distribution based on complexity, volume, and team capacity
- Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements
Compliance & Audit Oversight
- Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions
- Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements
- Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure
- Maintain audit-ready processes and participate in compliance initiatives, education, and reporting
Revenue Cycle & KPI Management
- Monitor team KPIs, including coding quality scores, productivity, and turnaround times
- Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials
- Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements
- Cross-Functional Collaboration
- Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation
- Serve as a resource for coding guidance, escalation support, and interpretation of coding rules
- Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution
- Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements
Qualifications
- 5+ years of professional medical coding experience across one or more specialties
- 3-4+ years of people leadership experience preferred
- Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services
- Strong understanding of coding compliance principles and audit readiness expectations
- Demonstrated ability to manage workflows, track metrics, and drive continuous improvement
- Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms
Preferred Experience
- Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix
- Experience managing coding operations in a multi-specialty or service-based environment
- Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk
Pay Range$85,000—$110,000 USD
Benefits
Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
At Alteva RCM, we do more than revenue cycle management. We partner with healthcare organizations to strengthen financial performance, simplify operations, and help teams navigate increasingly complex reimbursement challenges with confidence.
Founded in 2008, our organization has grown from processing a single claim to supporting healthcare providers nationwide. Formerly M&D Capital Premier Billing, Alteva RCM brings together legal, clinical, coding, and revenue cycle expertise under one roof, delivering hands-on, specialty-specific support tailored to the unique needs of medical groups, surgical centers, hospitals, and healthcare providers. We work as an extension of your team to protect revenue, improve operational efficiency, and help navigate complex reimbursement environments, including high-acuity and out-of-network cases.
Grounded in accountability, transparency, and partnership, we combine strategic insight with personalized support to strengthen financial health and create long-term success. Our focus is simple: helping providers stay focused on what matters most, delivering exceptional patient care.
Founded
2008
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
New York, NY
At Alteva RCM, we do more than revenue cycle management. We partner with healthcare organizations to strengthen financial performance, simplify operations, and help teams navigate increasingly complex reimbursement challenges with confidence.
Founded in 2008, our organization has grown from processing a single claim to supporting healthcare providers nationwide. Formerly M&D Capital Premier Billing, Alteva RCM brings together legal, clinical, coding, and revenue cycle expertise under one roof, delivering hands-on, specialty-specific support tailored to the unique needs of medical groups, surgical centers, hospitals, and healthcare providers. We work as an extension of your team to protect revenue, improve operational efficiency, and help navigate complex reimbursement environments, including high-acuity and out-of-network cases.
Grounded in accountability, transparency, and partnership, we combine strategic insight with personalized support to strengthen financial health and create long-term success. Our focus is simple: helping providers stay focused on what matters most, delivering exceptional patient care.
Founded
2008
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
New York, NY