Coding Manager (Medical Billing)

JOB TITLE: Coding ManagerDEPARTMENT: Revenue Cycle ManagementREPORTS TO: EVP of Revenue Cycle, Gryphon Healthcare

JOB SUMMARY

The Coding Manager at Gryphon Healthcare is responsible for overseeing day-to-day coding operations across a diverse portfolio of healthcare settings including freestanding emergency rooms, hospitals, urgent care facilities, and physician offices. This role ensures accurate, compliant coding in alignment with current regulatory standards and payer policies, while supporting coder education, provider documentation improvement, and client onboarding. The Coding Manager collaborates closely with internal teams and clinic partners to resolve coding-related issues, monitor AR trends, and improve overall revenue cycle performance.

KEY RESPONSIBILITIES

Daily Operations & Workflow Oversight
• Manage daily coding operations across multiple care settings and practice management systems (freestanding ERs, UC, physician offices, hospital-based practices).
• Distribute coding assignments daily, based on volume and specialty, ensuring client SLAs are met.
• Monitor and resolve issues in a timely manner, using AR spreadsheets, encounter data, and hold lists.
• Delegate coding tasks as needed and use workflow challenges as opportunities for coder education.
• Partner with the AR team to investigate and resolve coding-related denials.
• Serve as the primary contact for coding questions and routine support, escalating as appropriate.
• Participate in post-implementation system reviews and workflow improvement discussions.

Coder & Client Onboarding
• Lead onboarding process for new coders:
• Support onboarding for new clients and new charting systems:

Education & Quality Assurance
• Identify trends and common issues from hold lists, denials, and AR reviews to guide coder and clinic education.
• Provide timely feedback on provider documentation quality, especially following implementation of new systems or templates.
• Lead structured education for coding team:
• Maintain and enhance internal resources, cheat sheets, and reference materials.

Client Communication & Reporting
• Provide monthly updates to the EVP or Revenue Cycle regarding:
• Attend monthly management meetings to represent and give updates on the coding department.
• Attend monthly clinic meetings upon request to represent the coding team and offer insight on documentation, education needs, and claims readiness.
• Assist with aligning coders and client expectations through real-time support and structured communication.

Other Responsibilities
• Assist with ad hoc projects, internal reviews, or training initiatives as requested by the Coding Director or leadership.
• Provide back-up coding during peak volume or staff absences as needed.

QUALIFICATIONS
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or equivalent certification required.
• 3–5 years of medical coding experience, with at least 1–2 years in a leadership or supervisory role.
• Extensive knowledge of CPT, DRG, ICD-10-CM, HCPCS, and payer documentation requirements.
• Prior experience coding for freestanding ERs, urgent care, hospitals, and/or physician practices is required.
• Proficient in interpreting payer guidelines, NCCI edits, and medical necessity criteria.
• Familiarity with tools such as Codify and EMRs like GoRev, AthenaPractice, Experity, NextGen and others.
• Exceptional organizational, communication, and critical-thinking skills.
• Ability to manage multiple priorities in a dynamic, deadline-driven environment.

WORK EXPECTATIONS
• This is a remote position.
• Full-time role with flexibility required during high-volume periods and annual coding updates.
• Must be comfortable working across diverse clinical specialties and client workflows.

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