Medical Coding Manager

4 weeks ago


Biñan, Philippines Hampton Healthcare Full time

Join Hampton Healthcare as Part-time Inhouse Medical Coding Manager with the potential to transition into a full‑time position. Hampton Healthcare is focused on providing high‑quality onshore and offshore staffing solutions for healthcare organizations and practices across the U.S. My mission is simple: to connect healthcare businesses with top talent while improving efficiency, lowering costs, and enhancing patient care. The Inhouse Medical Coding Manager oversees the end‑to‑end coding operations for U.S. healthcare accounts within an offshore delivery environment. This role is responsible for managing a team of medical coders, ensuring compliance with U.S. coding standards, maintaining high‑quality deliverables, and supporting revenue integrity for client organizations . The ideal candidate has strong leadership skills, hands‑on experience in multi‑specialty coding, and a solid understanding of offshore service delivery models. Key Responsibilities Manage day‑to‑day operations of the medical coding team to ensure productivity, quality, and compliance with client SLAs. Oversee coding for professional, facility, and/or specialty‑based accounts (e.g., E/M, ED, inpatient, radiology, surgery, etc.). Conduct regular internal quality audits and implement corrective actions to maintain ≥95% coding accuracy. Ensure compliance with CPT, ICD‑10‑CM, and HCPCS coding guidelines, as well as payer‑specific rules. Collaborate with U.S. client‑side teams to clarify coding queries, resolve denials, and improve documentation quality. Develop and deliver training and upskilling programs for coders on new guidelines, specialties, or payer updates. Track and analyze team performance metrics — accuracy, productivity, turnaround time, and denial trends. Prepare and present operational reports and performance dashboards to clients and senior management. Support the recruitment, onboarding, and certification of new coding staff. Drive process improvement and automation initiatives to enhance coding efficiency and accuracy. Requirements Bachelor’s degree in Nursing, Allied Health, Health Information Management, or related field . 3+ years of experience in U.S. medical coding , with at least 1‑2 years in a leadership or managerial role in an offshore/BPO setup. Active certification from AAPC (CPC, COC, CIC) or AHIMA (CCS, CCS‑P) — required. Knowledge of denial management and can conduct root cause analysis/audits. Strong reporting and analytical abilities using Excel or BI tools. Experience in handling cross‑functional teams (QA, training, auditing). Proven experience in managing coders across multiple specialties or account types. Strong understanding of U.S. healthcare revenue cycle , payer policies, and compliance requirements. Excellent communication and client management skills. Familiarity with HIPAA and data security standards for offshore operations. Proficient with EHR/EMR systems (e.g., Epic, Cerner, Athena, Meditech) and coding platforms. Key Performance Indicators (KPIs) Coding Accuracy: ≥95% Productivity per coder per day: as per client SLA Turnaround Time: within 24–48 hours Denial Rate: ≤5% due to coding errors Client Satisfaction Score: ≥90% Benefits Why Hampton‑Healthcare? 100% Permanent Work‑from‑Home Supportive, high‑performing team culture Long‑term career stability and growth opportunities Be part of a company that values people, performance, and purpose #J-18808-Ljbffr



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