**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** Under the Direction of the Director of Professional Coding, the Professional Coding Manager will manage the Professional Coding staff for daily work flow, Under the Direction of the Director of Professional Coding, the Professional Coding Manager will manage the Professional Ancillary Coding staff for daily work flow, communication and education of coding guidelines. The Professional Coding Manager will monitor and report on coding work for quality, productivity, and compliance. The Professional Coding Manager will work to ensure proper coding following CMS and appropriate regulatory coding guidelines for quality and compliance. The Professional Coding Manager will develop goals to meet the overall goals of BILH. **Job Description:** **Essential Duties & Responsibilities** _including but not limited to:_ Manages staff to established standards for quality and quantity of work performed. Responsible for developing departmental goals and objectives in accordance with overall department and facility goals and objectives. Works with staff to ensure compliance of, and proper coding technique as defined by CMS regulations, Local Medicare Review Policies (LMRP’s), Local Carrier Determinations (LCD’s), the AMA, any applicable BILH compliance policies, and/or any relevant accrediting organizations. Provides ongoing coding education as well as new coder education on proper coding and documentation. Ensures that Coding staff conducts physician-coding audits and assists in communicating results and recommendations. Ensures that Coding staff conducts new physician orientation and ongoing physician training as needed. Works with Coding staff to analyze rejected claims and patient inquiries and recommends appropriate coding corrections. Attends management meetings, interacts with other managers to resolve problems, and conducts regular staff meetings to ensure consistent communication of Coding department as well as BILH policies, expectations, and goals. Acts as Liaison for Revenue Cycle Teams as appropriate. Documents problems and handles complaints from employees, physicians and administration. Keeps Director informed of problems and challenges in the Coding Department. Attends appropriate organizational and industry meetings to develop and maintain necessary Professional and Technical Coding knowledge as well as stays current will all billing regulations as they relate to coding. Follows all CMS, AMA, AHA, CPT, ICD-10-CM, HCPCS, coding and billing guidelines. Assist the Director with special projects as needed. Maintains strict adherence to the Lahey Clinic Confidentiality policy. Incorporates **BILH Guiding Principles** , Mission Statement and Goals into daily activities. Complies with all Lahey Clinic Policies. Complies with behavioral expectations of the department and BILH Clinic. Maintains courteous and effective interactions with colleagues and patients. Demonstrates an understanding of the job description, performance expectations, and competency assessment. Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. Participates in departmental and/or interdepartmental quality improvement activities. Participates in and successfully completes Mandatory Education. Performs all other duties as needed or directed to meet the needs of the department. **Minimum Qualifications:** Education: Coding Certificate Required Licensure, Certification, Registration: Coding Certificate from College Level Coding Program, and CPC, CCS-P, CPC-H, or CCS required. Skills, Knowledge & Abilities: CPT, HCPCS, and ICD-10-CM coding for Professional Coding, Computer skills including Microsoft Word, Excel, Access, Powerpoint, and other basic computer skills. Excellent verbal and written communication skills required. Presentation Skills required. Experience: 5 years management in Healthcare Environment in a Professional Coding and/or Billing environment for a large Group Practice. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**