Incident Manager
ResMed
CloudGoITSM
Job Level
SeniorLead
About the role
- Lead and provide guidance to the medical coding team, assign tasks, set goals, and conduct performance evaluations
- Oversee medical coding operations ensuring accuracy, completeness, and compliance with CPT, ICD-10, HCPCS
- Ensure coding practices align with regulations and privacy laws (HIPAA)
- Provide ongoing training, mentoring, and professional development for coding staff
- Collaborate with revenue cycle management, clinical documentation improvement, and compliance teams
- Monitor coding metrics and KPIs; develop reports and present coding trends and issues to senior management
Requirements
- Bachelor's degree in any related field (Master's preferred)
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
- Minimum of 8 years of experience in medical coding (at least 3 years in supervisory/managerial role)
- In-depth knowledge of CPT, ICD-10, HCPCS coding systems and US coding guidelines
- Strong leadership, communication, and interpersonal skills
- Proficiency in coding software and electronic health record (EHR) systems
- Experience developing coding policies, procedures, and quality assurance programs
- Experience with revenue cycle management and healthcare reimbursement methodologies
- Familiarity with encoders, grouper software, and computer-assisted coding (CAC) systems
- Knowledge of HIPAA, HITECH, and Medicare billing rules
