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The Coding Manager is responsible for leading hospital outpatient coding operations for Emergency Department, Observation, Infusion, and Same Day Surgery within Epic HB. This fully remote role ensures accurate, compliant coding and charge capture while supporting revenue integrity, productivity, and denial reduction initiatives.
Key Responsibilities
- Manage and mentor hospital outpatient coding staff in a remote environment.
- Oversee daily workflows, productivity, and quality for ED, Observation, Infusion, and Same Day Surgery.
- Monitor and manage Epic HB coding and charge review workqueues.
- Ensure compliance with ICD-10-CM, CPT, HCPCS, OPPS, NCCI, and payer guidelines.
- Support accurate coding of ED facility E/M, Observation services, Infusion/injections, and outpatient surgical procedures.
- Conduct audits, identify trends, and provide education and corrective action.
- Partner with Revenue Cycle, HIM, Compliance, and Epic teams to resolve issues and improve workflows.
- Monitor KPIs including accuracy, DNFB, charge lag, and denial trends.
Qualifications
- 5+ years of hospital outpatient coding experience.
- 2+ years of coding leadership or supervisory experience.
- Epic HB experience required.
- Strong knowledge of ED, Observation, Infusion, and Outpatient Surgery coding.
- Proficiency in ICD-10-CM, CPT, HCPCS, and modifiers.
Certifications (One or More Required)
- RHIA or RHIT
- CCS or CCS-P
- CPC (hospital outpatient experience)
Work Environment
- Fully remote
- HIPAA-compliant home workspace required
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