Manager, Coding

Surgical Information Systems CareersAlpharetta, GA
2dHybrid

About The Position

For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart ™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). Serving over 2, 700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most : delivering exceptional patient care and outcomes. Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025 , 2023 , and 2022 , SIS remains the trusted choice for surgical providers seeking to enhance their performance. Discover how SIS can help you Operate Smart ™ at sisfirst.com . The Manager, Coding will play a key role in reviewing and analyzing medical billing and coding for processing while assisting with client management and managing the coding team. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Adheres to OIG guidelines which include: Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Client management, including emails, phone calls, and video meetings with client staff as well as physicians Aid clients in denial management and coding reviews Manage a coding team consisting of Team Leads and production coders Productivity management of cases coded Approve employee time and payroll entries Provide training and ongoing education to coders Participate in meetings, trainings, and conferences as needed Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

Requirements

  • High school graduate or GED certification
  • Required certification in one of the following: CCS, CPC, RHIA, RHIT
  • Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process
  • Excellent command of written and spoken English
  • Ability to promote favorable company image with patients, insurance companies, and general public
  • Ability to solve problems associated with assigned task
  • Minimum of 5 years acute care coding experience of all patient types Inpatient, SDS and ER, with strong experience in Surgical coding
  • 3 years management experience
  • Strong attention to detail and speed while working within tight deadlines
  • Exceptional ability to follow oral and written instructions
  • A high degree of flexibility and professionalism

Nice To Haves

  • Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
  • A working knowledge of IPAs and health plans is required.
  • Comfortable with electronic and manual payor follow-up.
  • Able to quickly identify trends and escalate, as appropriate.
  • Ability to read, analyze and interpret insurance plans, financial reports, and legal documents

Responsibilities

  • Reviewing and analyzing medical billing and coding for processing
  • Assisting with client management
  • Managing the coding team
  • Adhering to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI
  • Consulting physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record
  • Striving for the optimal payment to which the facility is legally entitled
  • Assisting and educating physicians and other clinicians by advocating proper documentation practices
  • Adhering to OIG guidelines
  • Ensuring the coding site specifics are updated as needed for each center assigned
  • Identifying and tracking all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc.
  • Providing a documented request to the center requesting the information needed on a weekly/daily basis
  • Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month
  • Client management, including emails, phone calls, and video meetings with client staff as well as physicians
  • Aiding clients in denial management and coding reviews
  • Managing a coding team consisting of Team Leads and production coders
  • Productivity management of cases coded
  • Approving employee time and payroll entries
  • Providing training and ongoing education to coders
  • Participating in meetings, trainings, and conferences as needed

Benefits

  • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
  • Vacation/Sick time
  • 401(k) retirement plan with company match
  • Paid Holidays
  • SIS Cares Day
  • Hybrid environment depending on the role
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