Coding Manager, Risk Adjustment

Cotiviti

Coding Manager leading coders at Cotiviti and overseeing production and quality standards. Collaborating with various teams for efficient coding and analytics accuracy.

Posted 6/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $82,000 - $102,000 per yearWebsite

About the role

Key responsibilities & impact

The Coding Manager leads a team of coders, directly or indirectly, to deliver key components to the Cotiviti coding program.
Work with the Director of Coding, the Client team and other areas related to production, QA, and analytics for oversight of ongoing production and quality accuracy.
Facilitates all production meetings with Reporting, Data Capacity operations planning, and leadership to develop coding and abstraction production plans.
Communicates production plans, quality goals and project priorities to internal Coding teams as well as external vendor partners in preparation for on-boarding and/or scheduling of all client projects, including on and offshore coding.
Resolve issues that impact coding production and the full utilization of coding abstraction services for MRA, CRA and Medicaid.
Utilize Coding forecast and coding output data to monitor coding productivity and quality; address coders work performance concerns through meeting with the Coder and/or coding vendor leadership to develop an action plan as needed regarding production and quality accuracy standards.
Constructs and communicates internal system reports for all coders (Coder I, Coder II, QA I and QA II and Team Leads) in the Clinical Coding Department.
Ensures completion of various chart types (physician, hospital outpatient, hospital inpatient) from both a production and quality accuracy perspective.
Frequently meets with clients to provide meaningful updates on project progress; works closely with client success and coding quality to ensure successful deliverables.
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.

Requirements

What you’ll need

Bachelor’s degree, Coding certification; RHIA, RHIT, CRC, CCS, CCS-P, CPC, CPC-H (Nationally certified medical coder as certified by either AAPC or AHIMA) or 4 years equivalent work experience.
5+ years of HCC medical coding, record abstraction experience, including supervisory experience.
Ability to establish, monitor and enforce staffing schedules and production schedules.
Ability to analyze data to identify trends, outliers or areas that need attention from both a production and quality perspective, and implement changes as needed.
Ability to act as a coding resource or QA resource for Medicare Risk Adjustment, Commercial Risk Adjustment and Medicaid when production volume is required.
Excellent written and verbal skills including coaching and interpersonal skills, and client interaction.
Strong knowledge of medical terminology and anatomy and physiology.
Analytical and critical thinking skills to understand data to influence decision making.
Computer and technology literate.
Manage multiple client deliverables and competing deadlines simultaneously.
Awareness and adherence to HIPAA privacy and security regulations.

Benefits

Comp & perks

Medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

HCC medical codingrecord abstractiondata analysiscoding productivity monitoringquality accuracy standardsmedical terminologyanatomy and physiologycoding resourceQA resourcestaffing schedule management

Soft Skills

leadershipcoachinginterpersonal skillscommunication skillsanalytical thinkingcritical thinkingclient interactionteam developmentproblem-solvingtime management

Certifications

RHIARHITCRCCCSCCS-PCPCCPC-HAAPC certificationAHIMA certificationBachelor's degree