What are the responsibilities and job description for the Coding Manager position at SENTA ENT and Allergy Physicians?
IN OFFICE POSITION
Company Description
Southern Ear, Nose, Throat and Allergy Physicians (SENTA) is a physician-led and patient-focused community of the Southeast's finest ENT and Allergy / Immunology specialists. Founded in 2019, SENTA supports partner practices by providing strategic, operational, and administrative assistance, allowing physicians to prioritize patient care.
The Coding Manager will oversee and lead all aspects of the coding operations for our ENT and Allergy practices. This position is responsible for ensuring accurate, timely, and compliant coding practices, supporting revenue cycle optimization, and leading a team of coding professionals. The Coding Manager will work closely with practice leaders, physicians, revenue cycle teams, and clinical staff to ensure coding accuracy, reduce denials, and maintain compliance with regulatory standards.
Responsibilities
- Oversee day-to-day coding activities, ensuring timely and accurate assignment of diagnosis, procedure, and modifier codes in compliance with regulatory guidelines (CPT, ICD-10, and HCPCS). Assist in the investigation and resolution of claim denials related to coding and ensure timely submission of corrected claims.
- Collaborate with VP, RCM and other stakeholders to enhance charge capture processes and minimize denials. Address and resolve coding-related issues identified through audits, including follow-ups with clinical staff and revenue cycle partners and implementing corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
- Conduct regular coding audits to ensure adherence to internal policies, payer guidelines, and regulatory compliance.
- Manage the Coding team including but not limited to : hiring, training, managing & evaluating team performance and conducting professional development plans. Lead and develop a high-performing Coding team, overseeing hiring, training, and performance evaluations.
- Ensure that the productivity and actions of the Coding team meet and support the overall operational goals of the department.
- Design, develop, and implement standardized policies and procedures, standardized queries, and strategies to improve quality and financial performance.
- Develop and deliver training programs and educational materials related to coding updates, regulations, and internal processes.
- Inform and educate coding staff or other departments (as needed) on (CMS / Medicaid) regulatory changes and third party payer requirements to ensure compliance.
- Develop and execute Coding process improvement projects. Drive process improvement initiatives to optimize operational efficiency, enhance accuracy, and maximize financial performance.
- Monitor key performance indicators (KPIs) related to coding accuracy, timeliness, and productivity.
- Provide leadership in response to payer audits, ensuring timely submission of documentation and adherence to requests.
- Collaborate with physicians, patient care providers, and department leaders to clarify documentation, address coding discrepancies, and support new code implementation.
- Investigate and resolve provider and patient inquiries related to fees, reimbursements, and denials.
- Work with IT and Revenue Cycle teams to implement and optimize coding technology and systems. Act as a technical resource for coding software and other tools, supporting staff with system issues and providing troubleshooting guidance
- Ensure compliance with all federal, state, and payer-specific guidelines and maintain up-to-date knowledge of coding regulations and best practices.
Qualifications
