Orthopedic Coding Manager

Responsibilities: — Provide direct operational and people leadership for a team of coders specializing in surgical orthopedics. — Lead, coach, and develop team members; allocate work based on complexity, volume, specialty, and individual capacity. — Support recruiting, onboarding, and competency validation for new and existing team members. — Establish performance expectations and conduct regular evaluations aligned with quality and productivity standards. — Address performance gaps through coaching and corrective action plans. — Conduct operational reviews assessing capacity, performance, backlog risk, compliance risk, education effectiveness, and blockers. — Serve as primary escalation point for complex coding, documentation, payer conflicts, and account-level issues. — Resolve escalated coding questions in line with official coding guidelines and payer requirements. — Track escalation volume, trends, and resolution times; identify recurring issues and implement coaching and workflow adjustments. — Escalate systemic or unresolved issues to Senior Medical Coding Manager with documentation and recommendations. — Oversee daily coding operations ensuring timely completion and consistent application of coding standards. — Monitor backlog levels and escalate issues with data-backed recommendations. — Maintain adherence to departmental policies consistent with coding guidelines and payer requirements. — Oversee coding audits, ensuring timely responses, documentation support, and corrective actions. — Monitor adherence to coding rules including documentation requirements. — Maintain audit-ready processes and participate in compliance initiatives, education, and reporting. — Monitor team KPIs including coding quality scores, productivity, and turnaround times. — Partner with Billing and Revenue Cycle teams to support clean claim submission and reduce denials. — Identify trends impacting reimbursement and implement targeted improvements. — Collaborate with providers, clinical leadership, and compliance to promote accurate documentation. — Work with Coding Director and Senior Manager to prepare and document coding guidance and rules. — Ensure coding LOA alignment and provide education to authorizations team. Requirements: — High School Diploma or equivalent required; Bachelor's degree preferred. — Minimum 7 years experience in complex Orthopedic coding (Hand, foot, ankle). — At least 3 years in leadership or management role. — Strong understanding of billing, coding (CPT, ICD-10), and payer guidelines. — Proven track record in driving revenue performance and improving operational outcomes. — Experience managing client relationships in healthcare or revenue cycle environment. — Strong analytical skills to interpret data and translate insights into action. — Advanced proficiency in Microsoft Office applications, especially Excel, and reporting tools. — Excellent communication, leadership, and interpersonal skills. — Ability to manage multiple priorities in a fast-paced environment. — Strong leadership presence with ability to influence, motivate, and develop high-performing teams. — Strategic thinker with results-driven and revenue-focused mindset. — Ability to collaborate cross-functionally and influence stakeholders at all levels. Benefits: — Comprehensive benefits package including health, dental, vision, employee assistance plan, paid family leave, short-term disability, and life insurance. — 401(k) plan with employer match, flexible spending accounts, employee discount program, and employee referral program. The position is full-time and remote. To apply, visit: https://weworkremotely.com/remote-jobs/alteva-rcm-orthopedic-coding-manager