Manager, Coding Education & Quality

Job Description

Networks Connect is seeking an experienced Manager, Coding Education & Quality on behalf of our client, a large level Trauma 1 hospital system, to lead enterprise-wide coding education, auditing, and quality initiatives across hospital, professional fee, and global coding teams. This role is responsible for ensuring coding accuracy, regulatory compliance, and continuous improvement through structured audits, targeted education, and data-driven insights.

As a key member of the Health Information Management (HIM) leadership team, this manager partners closely with coding operations, clinical documentation integrity (CDI), providers, and external coding vendors to support compliant, high-quality coding practices and optimize reimbursement.

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If you’re a certified coding professional with a passion for education, auditing, and quality improvement, this is an opportunity to lead meaningful initiatives that directly impact compliance, reimbursement, and clinical collaboration.

Earnings

$40.38-$70.31 hourly

Duties

• 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

Experience

• 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
• Epic experience preferred

Skills & Competencies

• 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

License / Certification

• Bachelor’s Degree in Allied Health, Education, Health Information Management, or a related field (Required)
• CCS
• CPCH
• RHIT
• RHIA

Benefits

• Dental Insurance
• Health Insurance
• Vision Insurance