Title: HIM Coding Manager Duration: Direct Hire | Full-Time Location: Georgia / Tennessee - Hybrid/Remote with occassional onsite travel.
About the Opportunity
We are partnering with an established healthcare system seeking an experienced HIM Manager of Coding Compliance & Denials Management to provide leadership and operational oversight across two hospital facilities.
This position is ideal for a healthcare coding professional who brings a strong technical foundation in hospital coding, compliance, and revenue cycle operations, along with the ability to lead teams, manage performance, and drive process improvements.
The selected individual will oversee internal coding employees and third-party coding resources while remaining actively involved in coding quality, denials management, audits, and compliance initiatives.
Key Responsibilities
Coding Operations & Team Leadership
Oversee daily coding operations supporting two hospital facilities.
Manage internal coding employees and third-party vendor resources, with oversight of approximately 15 individuals.
Monitor coding productivity, accuracy, quality, and operational performance metrics.
Provide coaching, training, and professional development to coding personnel.
Identify workflow inefficiencies and implement improvements to support timely, accurate coding and reimbursement.
Collaborate with HIM leadership to maintain departmental standards and operational goals.
Coding Compliance & Auditing
Ensure coding practices comply with ICD-10-CM/PCS, CPT, E/M, and applicable regulatory guidelines.
Coordinate and participate in internal and external coding audits.
Identify coding discrepancies, compliance risks, and opportunities for corrective action.
Develop and maintain coding policies, procedures, and educational resources.
Provide coding guidance to clinical, billing, and revenue cycle teams.
Maintain awareness of Medicare, Medicaid, and third-party payer requirements.
Denials Management & Revenue Cycle
Oversee and participate in the review of clinical, DRG, and medical necessity denials.
Evaluate medical documentation, coding accuracy, and payer requirements to determine appropriate next steps.
Support the development and submission of payer appeals, including written appeal letters.
Monitor denial trends, identify root causes, and recommend improvements to reduce preventable denials.
Partner with Revenue Cycle leadership, physicians, and other stakeholders to improve reimbursement outcomes.
Support timely resolution of outstanding claims and denial-related work queues.
Required Qualifications
Strong professional background in hospital coding and Health Information Management.
Experience with Epic in a hospital coding or HIM environment.
Knowledge of ICD-10-CM/PCS, CPT, DRG reimbursement methodologies, and coding compliance.
Experience with coding operations, audits, quality assurance, and/or denials management.
At least three years of healthcare revenue cycle experience, including experience related to denial appeals.
Relevant HIM/coding credential such as RHIA or RHIT; other coding certifications may be considered pending confirmation.
Demonstrated leadership capabilities, including the ability to manage workflows, coach employees, and maintain accountability.
Strong organizational, analytical, and communication skills.
Preferred Qualifications
Prior experience as a HIM Manager, Coding Manager, Coding Supervisor, or Coding Team Lead.
Experience with Solventum/3M coding technology.
Experience overseeing outsourced coding operations or contract coding vendors.
Hands-on experience with clinical/DRG denial reviews and writing payer appeal letters.
Proven success improving coding quality, productivity, compliance, or denials performance.
What Makes Someone Successful in This Role The ideal candidate combines strong coding expertise with a hands-on, proactive leadership style. This individual should be comfortable managing people, holding teams accountable, solving complex coding and reimbursement challenges, and collaborating across multiple departments. We're looking for someone who doesn't just understand coding operations but can actively lead a team, identify opportunities for improvement, and drive measurable results.
Applicant Notices & Disclaimers
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $90000.00/Yearly - $120000.00/Yearly.
