Accordance Search Group

Compensation

Full Description

Our Fortune 500 client is seeking a Manager of Medical Billing & Coding. In this newly created role, you will lead the strategy, operations, and compliance of medical billing and coding functions. This role ensures accurate, timely, and compliant billing practices, with a focus on optimizing revenue cycle performance, enhancing payer-provider alignment, and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing, coding standards (ICD-10, CPT, HCPCS), and payer regulations, along with strong leadership and cross-functional collaboration skills. You will: • Assure compliance with ICD-10-CM/PCS and CPT-4 rules and guidelines and implement CMS and Correct Coding Initiative Guidelines (CCI) while identifying areas of potential coding, billing and documentation deficiencies and potential compliance risk • Support commercial and IT teams with coding guidance and change management processes. • Request, review and code medical services from reports and notes to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations. • Demonstrate the ability to understand CMS NCD and LCD guidelines to support coding decision making • Identify clinical documentation deficiencies and recommend methods for resolution that satisfy regulatory and compliance requirements. • Demonstrate strong knowledge of coding software and databases. • Verify that charges contain the necessary charge elements on EMR and Salesforce. • Ensure all charges are entered correctly and accounted for and be able to perform charge entry and all other charge related procedures. • Provide timely and accurate answers to inquiries presented by customers about clinical coding issues. REQUIRED QUALIFICATIONS • Minimum 7 years’ experience in Revenue Cycle Management including medical billing, change entry and coding • Hold active coding certification PREFERRED QUALIFICATIONS • Bachelor’s degree in healthcare administration, business, or related field • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. • Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance. • Experience with electronic health records (EHR), billing software, and revenue cycle management tools. • Excellent communication, analytical, and problem-solving skills.