Manager, Professional Billing Coding Operations

Boston Medical Center (BMC)

Boston Medical Center manager overseeing professional billing coding operations, coder supervision, audits, denials, and compliance. Driving coding accuracy, provider education, productivity, and revenue-cycle performance.

Posted 8/17/2026full-timeRemote • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $78,000 - $113,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Professional Billing Coding Operations, including management of coding staff, compliance with coding regulations, and effective coding education. Proficient in ICD-10-CM, CPT-4, and HCPCS coding conventions, with a strong focus on accuracy and operational performance.

Highest-signal resume keywords

CPC – Certified Professional CoderICD-10-CM CodingCPT-4 CodingManagement ExperienceCoding Education and Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10-CM CodingCoding Denials ManagementMedical Record ReviewChart AuditsCoding ComplianceData IntegrityHealthcare Billing SystemsReimbursement Methodologies

Soft Skills

Organizational SkillsProblem-Solving SkillsAttention to DetailCollaborationMentoring

Tools & Technologies

Computerized Billing SystemsMicrosoft Applications

Certifications & Qualifications

CPC – Certified Professional Coder

Industry Keywords

Healthcare CodingRevenue Cycle ManagementCMS RequirementsHIPAA ComplianceMedical Terminology

About the role

Key responsibilities & impact

Manage the day-to-day operations of the Professional Billing Coding Operations team
Supervise, develop, mentor, interview, orient, train, evaluate, hire, terminate, and discipline professional coding staff as necessary
Validate accurate CPT, HCPCS, ICD-10-CM, and diagnosis code assignment by coders, physicians, and non-physician practitioners
Review medical records, abstract diagnoses and procedures, sequence codes, and ensure accurate professional billing
Review coding denials, payer claim edits, RAC reviews, and other external coding reviews; identify root causes and trends
Conduct random chart audits and quality reviews to validate compliant code selection and documentation
Provide coding education, feedback, updates, and in-service training to coders, healthcare professionals, and Revenue Cycle staff
Partner with the Coding Education Team to design and implement coding, clinical documentation audit, and education programs
Establish staffing schedules, assign workloads and projects, and monitor productivity
Track overtime, absenteeism, hours worked, leave, and vacation/sick time; review and approve timesheets
Report on coding accuracy, abstracting, coding accountabilities, benchmarking profiles, and operational performance
Research coding issues, respond to coding questions, initiate documentation queries, and monitor responses
Ensure compliance with Official Coding Rules, Coding Clinic guidance, payer guidelines, CMS requirements, HIPAA, and hospital safety procedures

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of formal education and experience
CPC – Certified Professional Coder certification required
At least five years of coding experience, including education, mentoring, and training
Minimum of five years of acute care hospital coding experience with ICD-10-CM and CPT-4
Minimum of three years of management experience required; five years preferred
Prior experience working claim edits and denials
Excellent command of ICD-10-CM, CPT-4/HCPCS coding conventions, and E&M coding
Knowledge of human anatomy, physiology, and pathology
Skill in providing hands-on education based on audit findings and needs
Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques
Extensive knowledge of hospital inpatient and outpatient reimbursement methodologies
Extensive knowledge of payer claim edits and payer denials
In-depth knowledge of medical terminology, ICD-10-CM and CPT-4 coding conventions, CMS National Coverage Determinations, and applicable coding regulations and law
Excellent organizational, prioritization, multitasking, follow-through, problem-solving, accuracy, and attention-to-detail skills
Ability to collaborate with healthcare delivery teams, handle interruptions, adapt to workload and schedule changes, and respond to urgent requests
Ability to mentor, guide, and motivate direct reports
Must maintain strict confidentiality of personal and health-sensitive information and ensure HIPAA compliance
Must complete a background check before employment
Must be vaccinated against COVID-19 and flu and receive a COVID-19 booster dose

Benefits

Comp & perks

Medical, dental, vision, and pharmacy benefits
Discretionary annual bonuses
Merit increases
Flexible Spending Accounts
403(b) savings matches
Paid time off
Career advancement opportunities
Resources to support employee and family well-being
Employee vaccination requirement coverage/context: COVID-19 and flu vaccination and COVID-19 booster
Accommodation support during the application process