Medical Coding Manager (Part-Time with potential to Full-Time)
Part-time Mid-Senior levelJob Overview
Join Hampton Healthcare as Part-time Inhouse Medical Coding Manager with the potential to transition into a full-time position.
Hampton Healthcare is focused on providing high-quality onshore and offshore staffing solutions for healthcare organizations and practices across the U.S. My mission is simple: to connect healthcare businesses with top talent while improving efficiency, lowering costs, and enhancing patient care.
The Inhouse Medical Coding Manager oversees the end-to-end coding operations for U.S. healthcare accounts within an offshore delivery environment. This role is responsible for managing a team of medical coders, ensuring compliance with U.S. coding standards, maintaining high-quality deliverables, and supporting revenue integrity for client organizations. The ideal candidate has strong leadership skills, hands-on experience in multi-specialty coding, and a solid understanding of offshore service delivery models.
Key Responsibilities
- Manage day-to-day operations of the medical coding team to ensure productivity, quality, and compliance with client SLAs.
- Oversee coding for professional, facility, and/or specialty-based accounts (e.g., E/M, ED, inpatient, radiology, surgery, etc.).
- Conduct regular internal quality audits and implement corrective actions to maintain ≥95% coding accuracy.
- Ensure compliance with CPT, ICD-10-CM, and HCPCS coding guidelines, as well as payer-specific rules.
- Collaborate with U.S. client-side teams to clarify coding queries, resolve denials, and improve documentation quality.
- Develop and deliver training and upskilling programs for coders on new guidelines, specialties, or payer updates.
- Track and analyze team performance metrics — accuracy, productivity, turnaround time, and denial trends.
- Prepare and present operational reports and performance dashboards to clients and senior management.
- Support the recruitment, onboarding, and certification of new coding staff.
- Drive process improvement and automation initiatives to enhance coding efficiency and accuracy.
Requirements
- Bachelor’s degree in Nursing, Allied Health, Health Information Management, or related field.
- 3+ years of experience in U.S. medical coding, with at least 1-2 years in a leadership or managerial role in an offshore/BPO setup.
- Active certification from AAPC (CPC, COC, CIC) or AHIMA (CCS, CCS-P) — required.
- Knowledge of denial management and can conduct root cause analysis/audits.
- Strong reporting and analytical abilities using Excel or BI tools.
- Experience in handling cross-functional teams (QA, training, auditing).
- Proven experience in managing coders across multiple specialties or account types.
- Strong understanding of U.S. healthcare revenue cycle, payer policies, and compliance requirements.
- Excellent communication and client management skills.
- Familiarity with HIPAA and data security standards for offshore operations.
- Proficient with EHR/EMR systems (e.g., Epic, Cerner, Athena, Meditech) and coding platforms.
Key Performance Indicators (KPIs)
- Coding Accuracy: ≥95%
- Productivity per coder per day: as per client SLA
- Turnaround Time: within 24–48 hours
- Denial Rate: ≤5% due to coding errors
- Client Satisfaction Score: ≥90%
Hardware Requirements
- 720p HD webcam
- Noise-canceling headset
- Primary internet connection with a minimum speed of 25 Mbps
- Backup laptop, internet source, and UPS or backup power solution
- Primary device recommendation: Intel Core i5 or equivalent with 8 GB RAM or higher
- Backup device recommendation: Intel Core i3 or equivalent with at least 4 GB RAM
Benefits
Why Hampton-Healthcare?
- 100% Permanent Work-from-Home
- Supportive, high-performing team culture
- Long-term career stability and growth opportunities
- Be part of a company that values people, performance, and purpose
Make Your Resume Now