Manager of HIM Profee Coding and Billing

Manager of HIM Professional Coding & Billing

Remote | Full-Time | Salary Range: $61-91 per hour

Work Remotely. Grow Professionally. Feel Valued.

For more than 30 years, Managed Resources, Inc. has partnered with healthcare organizations nationwide to improve performance, strengthen revenue cycle operations, support compliance, and help providers focus on delivering quality patient care.

We’re proud of the work we do, but we’re equally proud of the workplace we’ve built.

At Managed Resources, you’ll find the stability and reputation of an established healthcare consulting firm combined with the accessibility, collaboration, and growth opportunities of a smaller organization. Here, your contributions are visible, your ideas are welcomed, and your work makes a meaningful impact.

Compensation

Salary Range: $61-91 per hour

Actual compensation will be determined based on factors including experience, qualifications, specialized skills, geographic location, and internal equity considerations.

Quick Facts

• Remote
• Full-Time
• Competitive Compensation
• Phone & Internet Stipend
• Medical, Dental, and Vision Benefits (Full-Time Employees)
• 401(k) Retirement Plan with Company Match
• Paid Time Off, Seven Company Holidays, and Two Floating Holidays (Full-Time Employees)
• Professional Development Opportunities
• Employee Recognition Programs

Why Join Managed Resources?

Your Voice Matters

At Managed Resources, employee feedback isn’t collected and forgotten; it helps drive meaningful change.

Employee feedback has contributed to enhancements in employee recognition programs, professional development opportunities, communication initiatives, employee experience improvements, and technology investments. We believe the people closest to the work often have the best ideas.

Feeling Valued Matters

We believe great work deserves recognition.

Throughout the year, we celebrate employee contributions through appreciation initiatives, recognition programs, milestone celebrations, and professional observances such as Nurses Week and Coding Week. We intentionally create opportunities for employees to feel seen, valued, and appreciated.

A Remote Team That Stays Connected

Remote work shouldn’t mean feeling disconnected.

We foster connection through virtual team events, company celebrations, employee appreciation activities, holiday gatherings, and opportunities for collaboration across teams. Our employees enjoy the flexibility of remote work while remaining part of an engaged and supportive culture.

Opportunities to Learn and Grow

Whether you’re looking to deepen your expertise, expand your skill set, or take the next step in your career, Managed Resources supports continuous learning and professional growth.

Our leaders are accessible, collaborative, and invested in helping employees succeed.

The Best of Both Worlds

As an established organization with more than three decades of success, we offer stability, industry expertise, and long-standing client relationships.

As a smaller organization, employees have the opportunity to build meaningful relationships, gain visibility with leadership, contribute ideas, influence change, and make a measurable impact on the organization.

Your work matters here.

About the Opportunity

The PB Coding Manager will oversee physician-based charging and billing, claim edits, payer appeals, provider audits, and coding quality while providing education to physicians across both clinic and hospital settings. This role requires extensive expertise in ICD-10-CM, CPT, and HCPCS Level II, along with the leadership skills to translate complex coding and payer requirements into actionable guidance for providers and coding teams.

Why This Role Matters

The PB Coding Manager provides the leadership and oversight needed to ensure physician services are coded accurately, documentation supports medical necessity, claim edits and payer appeals are addressed appropriately, and coding practices remain aligned with ICD-10-CM, CPT, HCPCS, and regulatory requirements. Through ongoing provider audits, quality monitoring, and physician education, this leader helps identify documentation and coding gaps before they result in denials, lost revenue, or compliance risk. By partnering closely with providers, coding teams, auditors, and Revenue Cycle, the PB Coding Manager strengthens coding quality, supports appropriate reimbursement, improves billing outcomes, and promotes consistent, compliant practices across professional services.

What You’ll Gain

• Flexibility of a remote work environment
• Visibility and access to leadership
• Opportunity to contribute ideas and influence change
• Professional development and career growth opportunities
• Meaningful work supporting healthcare organizations nationwide
• A collaborative culture that values employee success, recognition, and work-life balance

What You’ll Do

• Primary lead educator with sessions onsite and in electronic format for new and existing providers/clinicians.
• Oversee the professional coding of evaluation & management (E/M), surgical, and diagnostic services.
• Ensure accurate CPT, HCPCS, and ICD-10-CM code assignment by physicians for all PB claims.
• Monitor coding compliance with CMS, OIG, payer-specific guidelines, and organizational policy.
• Monitors un-billed, claim edit, and denial claim reviews ensuring revenue metrics do not exceed claims submissions.
• Coordinates monthly external professional audits with third-party vendors in collaboration with Compliance and the HIM Coding manager. Extracts and uploads audited data from third-party vendors and coordinate other team members’ assignments in maintaining all monthly audits are completed in a timely manner.
• Work closely with Revenue Integrity and Billing to streamline processes and resolve coding/billing issues.
• Maintain communication with leadership regarding trends, backlogs, and regulatory changes.
• Leads educational sessions with the coding team by conducting research on various regulatory sites and coding guidelines in creating educational content for both clinicians and coding team members in reducing claim and payer denials providers continuous education strategies.
• Performs reviews of payer denials and analyze/track coding denials and documentation deficiency trends in providing monthly provider/clinician education.
• Supervise, coach, and evaluate a team of professional coders and perform educational training of new and existing coding staff.
• Conducts internal and external auditing of coding staff team members by providing educational monthly reporting to reduce claim denials
• Coordinates with the facility HIM coding manager with professional surgical and obstetrical coding of claims
• Ensure department goals and KPIs (e.g., coding reviews/release of provider’s charges turnaround times, and quality scores) are met.

What You’ll Bring

• Certified Professional Coder (CPC) and Certified Professional Medical Auditor) CPMA or Certified Evaluation and Management Coder CEMC required
• Certified Coding Specialist – Physician Based (CCS-P) – AHIMA, RHIT or RHIA preferred
• Valid California Driver’s license
• Minimum (5) years of professional coding/auditing experience in a multispecialty healthcare setting for professional physicians claims to include evaluation and management services, ICD-10-CM diagnosis, HCPCS, and CPT coding for both inpatient and outpatient services, required
• At least 5 years of experience in a supervisory or management role within the HIM Coding department preferred.
• In-depth knowledge of physician coding across specialties, E/M leveling, surgical coding, and modifier usage.
• Electronic Health Records (EHR): EPIC or equivalent enterprise EHR systems experience Required.
• Experience with EPIC’s PB module (Professional Billing) strongly preferred.
• Coding and Billing Tools: Epic AI tools
• Reporting & Analytics: Proficient in MS Excel to include pivot tables, and VLOOKUPs), Word, and PowerPoint
• Familiarity with reporting tools such as EPIC Clarity, Crystal Reports, Tableau, or Power BI a plus.
• Exposure to compliance software tools for audit management, and knowledge of OIG work plans, CMS NCCI edits, and payer policies.
• Revenue cycle knowledge of claims reimbursement associated with CMS LCD and NCD policies
• Demonstrate excellent oral and written communication and presentation skills
• Strong leadership, communication, interdepartmental collaborative relationships and conflict resolution skills.
• Strong organizational skills and ability to prioritize multiple activities and objectives in given timelines.
• Creative in problem solving skills and able to work under pressure and continuous change
• High attention to detail with excellent problem-solving abilities with ability to interpret complex regulatory and payer guidelines

Benefits & Perks

Full-Time Employees

• Medical, Dental, and Vision Insurance
• Phone and Internet Stipend
• Company-Paid Life Insurance
• 401(k) Retirement Plan with Company Match
• Paid Time Off
• Seven Company-Observed Holidays
• Two Floating Holidays for Personal Observance
• Professional Development Opportunities
• Employee Recognition Programs
• Remote Work Environment

Ready to Join Us?

If you’re looking for a company where your expertise is respected, your contributions are recognized, and your work has a meaningful impact, we’d love to hear from you.

Join a team that combines the stability of an established healthcare consulting organization with the culture, connection, and growth opportunities of a smaller company.

Apply today and build your career with Managed Resources.

Managed Resources, Inc. is an Equal Opportunity Employer and is committed to creating an inclusive workplace where all employees can thrive.