Networks Connect Healthcare Staffing · 1 week ago
Manager, Coding Education & Quality
United States
Full-time
Remote
Senior Level
5+ years expNetworks Connect is seeking an experienced Manager, Coding Education & Quality to lead enterprise-wide coding education, auditing, and quality initiatives across a large level Trauma 1 hospital system. This role focuses on ensuring coding accuracy, regulatory compliance, and continuous improvement through structured audits and targeted education.
EmploymentHealth CareHuman ResourcesRecruitingStaffing Agency
Hiring Manager
Erica Burnette
Responsibilities
Lead and coordinate coding education and quality audit teams across hospital, professional fee, and global coding environments
Establish and maintain a standardized framework for ongoing coder and provider audits
Provide individualized feedback, remediation, and follow-up audits as needed
Develop and deliver education for coders and providers in individual and group settings (virtual and in-person)
Maintain and update coding education resources, newsletters, and reference materials
Ensure compliance with ICD-10-CM/PCS, CPT, modifiers, E/M, Medicare guidelines, LCDs/NCDs, and payer requirements
Review and revise coding and auditing policies and procedures to ensure best practices
Coordinate and manage external coding audits
Serve as a subject matter expert and point of contact for clinical coding inquiries
Partner with CDI leadership to align documentation and coding standards
Track, trend, and analyze coding audit outcomes and quality metrics
Research coding-related denial trends and develop education to mitigate future denials
Analyze billing and claims data to support accurate reimbursement and compliance
Prepare and submit reports on audit completion, outcomes, and education effectiveness
Share insights and recommendations with leadership and provider groups
Collaborate with coding operations leaders on guidelines, workflows, and quality improvement initiatives
Support onboarding and ongoing competency of global coding teams
Work closely with external coding vendors to assess performance and quality standards
Escalate quality or compliance concerns to HIM leadership as appropriate
Qualification
Required
Bachelor's Degree in Allied Health, Education, Health Information Management, or a related field (Required)
One of the following required: CCS, CPCH, RHIT, RHIA
5+ years of coding experience
Experience in coding education, auditing, or quality management
Demonstrated ability to lead and direct teams
Experience analyzing data and developing action plans
Working knowledge of billing systems and EHR platforms
Expert knowledge of ICD-10, CPT, modifiers, and E/M coding
Strong written, verbal, and presentation skills
Ability to translate complex coding concepts into clear education
Experience developing reports, dashboards, and presentations
Proficiency with Microsoft 365 (Outlook, Word, Excel, PowerPoint)
Detail-oriented with a strong compliance and quality mindset
Ability to collaborate effectively with providers, coders, and leadership
Preferred
Epic experience preferred
Benefits
Dental insurance
Health insurance
Vision insurance
Company
Networks Connect Healthcare Staffing
Networks Connect is a healthcare staffing company.
Founded in 2019Indianapolis, Indiana, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
C
Chris Madden
President & Founder
Company data provided by crunchbase