Coding Manager

Description Salary Range: $113,000.00 - $164,000.00  This role is full-time in office in Fremont, California Job Description   Division: Revenue Cycle Job Title: Coding Manager, QA Reviewer & Educator                    Job Code:     Position Summary The Coding Manager–Educator–Reviewer provides leadership and oversight for coding operations, ensuring accuracy, compliance, and continuous improvement across the organization. This role combines technical expertise with instructional skill to maintain high‑quality coding practices and support coder development. The position is responsible for coding quality reviews and education, including accurate ICD‑10‑CM/PCS, DRG, and CPT assignment, adherence to national guidelines, and compliance with hospital policies. It delivers ongoing coder education, identifies coding quality trends, and collaborates closely with CDI to strengthen documentation integrity and support physician education. In addition, the role supports HIM’s oversight of coding‑related denials and documentation quality, contributing to organizational compliance, revenue integrity, and improved clinical documentation outcomes.   Statement of Accountability   Reports to:   HIM Director   Qualifications ·    Education ·    Licensure ·    Work Experience ·    Skills/computer/ specific technical § Other qualifications, miscellaneous   Specify if qualifications are Required or Preferred 1. Education ·          Required: Associate’s degree in a healthcare related field or equivalent experience. ·          Preferred: Bachelor’s degree in Health Information Management, or a related field or equivalent experience.   2. Licensure/Certification ·          Required Credentials:   o    CCS, CPC, RHIT, RHIA or equivalent credential. ·          Preferred: CCS and RHIA/RHIT credentials.   3. Work Experience ·          Required: o    Minimum of 8 years of experience in acute care hospital inpatient coding. o    Minimum of 3 years in a leadership, auditing, or education role.   ·          Preferred:   o    Minimum of 10 years of experience in acute care hospital inpatient coding. o    Minimum of 5 years in a leadership, auditing, or education role.   4. Skills and technical competencies Extensive inpatient acute care coding experience. Strong knowledge of ICD‑10‑CM/PCS, DRG logic, coding guidelines, and CMS/payer requirements. Experience in coding quality review, DRG validation, and coder education. Effective communication skills and ability to collaborate with CDI, providers, and revenue cycle teams. Experience with EHR systems and coding software. Excellent communication, leadership, and instructional skills. Experience in hospital or multi-specialty coding environments. Background in curriculum development or adult learning methodologies. 5. Work Environment   Fast‑paced environment requiring accuracy, initiative, collaboration, and strong…