Medical Coding Manager
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Job Description
Coding Manager at Sprinter Health, leading the Coding team for accurate and compliant coding operations. Driving education and quality programs for in-home and virtual healthcare services.
Responsibilities:
- Lead, coach, and support a remote team of medical coders (and coding auditors), setting clear expectations, running regular 1:1s, and fostering a culture of trust and respect—not micromanagement.
- Manage day-to-day coding operations, including work queue oversight, workload balancing, and turnaround time performance, while tracking and reporting on accuracy, productivity, and compliance metrics.
- Serve as the primary escalation point for coding questions and complex scenarios, partnering with Revenue Cycle, Compliance, and audit resources to understand issues, audit findings, and denial trends.
- Ensure coding is accurate, complete, and compliant with ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidelines through strong training, clear policies, and daily oversight.
- Develop, maintain, and socialize coding policies, playbooks, and job aids that enable consistent, high-quality coding decisions.
- Design and own a comprehensive coding education program, including new-hire onboarding, ramp plans, role-specific competency checklists, and structured 30/60/90-day milestones.
- Develop and deliver ongoing training (huddles, workshops, office hours, and written guidance) on guideline updates, payer changes, common error patterns, and Sprinter-specific workflows (e.g., Care+ visits, diagnostics).
- Create and maintain a centralized, easy-to-use library of training materials—guides, FAQs, tip sheets, and short videos—that coders can rely on in real time.
- Provide individual coaching based on performance data, audit/denial trends, and observed needs, while supporting coders in maintaining and advancing their professional certifications and continuing education.
- Foster a strong learning culture by normalizing questions, encouraging peer-to-peer knowledge sharing, recognizing improvements, and reinforcing confidentiality and HIPAA/compliance standards.
Requirements:
- Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification.
- Minimum 5 years of professional coding experience, with at least 2 years in a senior, lead, or supervisory role supporting other coders.
- Strong understanding of pro-fee coding, including preventive care, primary care, diagnostics, and virtual/telehealth services.
- Deep knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and national/payer-specific guidelines.
- Demonstrated experience designing and delivering coding education (e.g., leading trainings/huddles, building guides, mentoring coders).
- Familiarity with HCC / risk adjustment coding and how coding supports value-based care and quality programs.
- Experience presenting to and working with external clients or partners, including developing and explaining client-facing reports, analytics, and coding-related insights.
- Proficiency with EHR systems, encoder/coding software, and productivity/quality reporting tools; experience with Elation and Google Workspace is a plus.
- Excellent communication and coaching skills, with the ability to explain complex coding topics to both coding and non-coding audiences (internal and external). Proven ability to work independently, prioritize effectively, and manage a remote team.
Benefits:
- 100% paid health, dental, vision premiums (for families too)
- Generous parental leave (4 months for birthing parent, 2 months for partners)
- 401(k) with company match
- Unlimited PTO + flexible schedule
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