HIM Professional Billing Coding Manager
- El Camino Health
- Mountain View, CA, USA
- $67.50 - $101.31 hourly
Job Description
Lead Coding. Drive Revenue Integrity. Shape Provider Performance.
El Camino Health is seeking a highly experienced HIM Professional Billing Coding Manager to lead coding operations across its medical network. This is a critical leadership role directly tied to revenue cycle performance, compliance, and provider documentation excellence.
If you bring deep expertise in professional billing (PB) coding, auditing, and provider education, this is your opportunity to make a meaningful impact within a respected, nonprofit health system.
About El Camino Health
El Camino Health is an integrated, nonprofit health system known for delivering high-quality, patient-centered care across its communities. With a strong commitment to innovation, compliance, and clinical excellence, the organization plays a vital role in driving healthcare outcomes and access across the region.
What You’ll Lead
- Oversight of day-to-day professional billing coding operations
- Leadership and development of a team of coders and coding auditors
- Provider education across clinic and hospital settings to improve documentation and coding accuracy
- Review and management of claim edits, denials, and payer appeals
- Execution of monthly audits and reporting to compliance committees
- Collaboration with Revenue Cycle, Revenue Integrity, and HIM leadership
Key Responsibilities
- Ensure accurate, compliant coding using ICD-10-CM, CPT, and HCPCS Level II
- Oversee coding of E/M, surgical, and diagnostic services
- Monitor coding quality, denials, and documentation trends
- Lead provider education initiatives to support medical necessity and payer requirements
- Coordinate external audits with vendors and ensure timely completion of all audit activity
- Partner with Revenue Cycle teams to optimize workflows and reduce denials
- Maintain visibility into KPIs, backlogs, and regulatory updates
- Develop and deliver ongoing education for providers and internal coding teams
- Supervise, coach, and evaluate coding staff performance
Why This Role Stands Out
✔ Direct impact on revenue integrity and financial performance
✔ High-visibility role partnering with leadership and compliance committees
✔ Opportunity to shape provider documentation and education strategy
✔ Lead initiatives that improve coding accuracy and reduce denials
Qualifications
- 5+ years of professional (PB) coding/auditing experience in a multispecialty setting
- Strong expertise in:
- ICD-10-CM
- CPT procedural coding
- HCPCS Level II
- Experience with:
- Provider education and engagement
- Coding audits and compliance programs
- Claims, denials, and appeals processes
- Experience with Epic PB module strongly preferred
- Proficiency with Excel (pivot tables, VLOOKUPs) and reporting tools
Certifications
- CPC + CPMA (or CEMC) required
- CCS-P, RHIT, or RHIA preferred
What Success Looks Like
- Improved coding accuracy and compliance scores
- Reduced denials and documentation gaps
- Strong provider engagement and education outcomes
- A high-performing, well-developed coding team
Required Experience Level
Minimum Experience Required
Required Travel
Applicant Location
About El Camino Health
El Camino Health is an integrated, nonprofit health system known for delivering high-quality, patient-centered care across its communities. With a strong commitment to innovation, compliance, and clinical excellence, the organization plays a vital role in driving healthcare outcomes and access across the region.