Everything we do is underscored by a why — and that why is one another. Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $87,300.00 - $130,915.00 Summary: Coding Manager Location: Hybrid (Onsite and Remote) Schedule: Monday-Friday, 8:00 a.m. to 5:00 p.m. Position Summary We are seeking an experienced and dynamic Coding Manager to lead and oversee inpatient, outpatient, and professional coding operations. This leadership role is responsible for managing coding staff, monitoring productivity and quality metrics, identifying workflow optimization opportunities, and driving performance improvement initiatives across the coding department. The ideal candidate will possess strong coding expertise, proven leadership skills, and a passion for operational excellence. This individual will collaborate with key stakeholders to ensure coding accuracy, regulatory compliance, productivity standards, and continuous process improvement. Qualifications Required Associate's degree in Healthcare Administration, Business Administration, or a related field. Minimum of 5 years of coding experience in a healthcare setting. Comprehensive knowledge of inpatient, outpatient, and professional coding operations. Demonstrated ability to analyze data, manage workflows, and drive operational improvements. Preferred Bachelor's degree in Health Information Management, Healthcare Administration, Business Administration, or a related field. Previous supervisory or management experience. Strong leadership, communication, and employee development skills. Experience leading productivity, quality, and performance improvement initiatives. What We're Looking For Strong leadership and team-building capabilities. Strategic thinker with a focus on continuous improvement. Excellent problem-solving and decision-making skills. Commitment to quality, compliance, and operational excellence. Ability to manage multiple priorities in a fast-paced healthcare environment. Join our team and help shape the future of coding operations through leadership, innovation, and a commitment to excellence in healthcare revenue cycle performance. Job Description Summary The Manager Coding provides leadership and oversight for coding operations, ensuring the accurate, timely, and compliant assignment of diagnosis and procedure codes that support quality reporting, regulatory compliance, and appropriate reimbursement. The Manager Coding leads coding staff, drives performance improvement initiatives, and collaborates with providers, clinical departments, HIM, CDI, and Revenue Cycle teams to optimize documentation integrity and coding accuracy. This role is responsible for coding quality, productivity, education, compliance, workflow optimization, and leveraging data analytics to improve financial and operational outcome. Essential Job Functions: Directs and oversees daily operations of the medical coding department, ensuring accurate, timely, and compliant assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes. Manages, coaches, and develops coding staff through recruitment, onboarding, performance management, education, and professional development initiatives. Monitors coding productivity, quality, and coding lag metrics, implementing process improvements to optimize operational efficiency and financial performance. Conducts routine coding audits and quality reviews to ensure compliance with federal, state, payer, and organizational coding guidelines and regulations. Collaborates with providers, CDI specialists, HIM, Revenue Integrity, Patient Financial Services, and other stakeholders to improve documentation quality and coding accuracy. Analyzes coding-related data, trends, denials, and reimbursement impacts to identify opportunities for revenue optimization and risk reduction. Develops, maintains, and enforces coding policies, procedures, and standard work processes that support regulatory compliance and operational excellence. Serves as a subject matter expert on coding regulations, reimbursement methodologies, payer requirements, and industry best practices, providing education and guidance to leadership and clinical teams. Partners with compliance and audit teams to investigate coding concerns, resolve discrepancies, and implement corrective action plans when necessary. Leads strategic initiatives related to coding technology, workflow automation, artificial intelligence tools, and system optimization to enhance coding accuracy, efficiency, and scalability. Performs other duties as assigned or needed to meet the needs of the department/organization. Certification: Registered Health Information Administrator (RHIA) | American Health Information Management Association (AHIMA) | Prior to Start Date | HR Primary Sources Registered Health Information Technician (RHIT) | American Health Information Management Association (AHIMA) | Prior to Start Date | HR Primary Sources Certified Professional Coder (CPC) | American Academy of Professional Coders | Prior to Start Date | HR Primary Sources Certified Coding Specialist (CCS) | American Health Information Management Association (AHIMA) | Prior to Start Date | HR Primary Sources Certified Inpatient Coder (CIC) | American Academy of Professional Coders (AAPC) | Prior to Start Date | HR Primary Sources Notes: Must be certified in RHIA, RHIT, CPC, CCS, or CIS. Education: • Required: Associates - Business Administration/Management- OR -Associates - Health Administration- OR -Associates - Related Field Work Experience: • Required: A minimum of 5 years Related Experience Language Requirements: This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands : • Sit: Frequently (34-66%) • Stand: Occasionally (5-33%) • Walk: Occasionally (5-33%) • Stoop/Bend: Rarely (1-4%) • Reach: Frequently (34-66%) • Crawl: Not Applicable • Squat/Crouch/Kneel: Rarely (1-4%) • Twist: Occasionally (5-33%) • Handle/Finger/Feel: Continuously (67-100%) • See: Continuously (67-100%) • Hear: Continuously (67-100%) Weight Demands: • Lift -Floor to Waist Level: Sedentary (<10 pounds) • Carry: Sedentary (<10 pounds) • Push/Pull: Sedentary (<10 pounds) • Slide/Transfer: Not Applicable Working Conditions: • Indoor: Continuously (67-100%) • Outdoor: Not Applicable • Extreme Temperature: Not Applicable Driving Requirement Definitions: Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials. Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily. Occasional Drivers: Persons who drive from once per month to as frequently as once per week. Infrequent Drivers: Persons who are generally not expected to drive. Driving Requirement for this position: Infrequent Driver Reference ID: R8341 Making a real difference. For one another. To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another. At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go. Join our team and be a part of a small community with a big heart. Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO) At Altru, everything we do is underscored by a why—and that why is one another. We believe in the power of community and the difference we can make together. As the trusted healthcare provider in our region, we’re driven by a commitment to quality care and creating a supportive environment where every team member can thrive. Here, you’ll have opportunities to advance your skills, work with the latest technologies, and experience the fulfillment that comes from giving back—taking your career wherever you want it to go. Join our team and be part of a small community with a big heart. Want a closer look at life at Altru? Follow us on our careers social channels to see our people, culture, and impact in action—and stay up to date on new opportunities. Facebook.com/AltruCareers Instagram.com/AltruCareers Altru provides reasonable accommodations to individuals with disabilities to increase opportunities and eliminate barriers to employment. If you need a reasonable accommodation in the application process to access job postings, to apply for a job, for a job interview, for pre-employment testing, or with the onboarding process, please contact Altru’s Human Resources Department at [email protected] or 701.780.5107. Altru is an Equal Opportunity Employer. Learn more or to request a copy of our Equal Employment Opportunity and Eligibility policy and Affirmative Action Plan at no charge, please contact Altru’s Human Resources Department at [email protected] or 701.780.5107. Additionally, the following poster is available through the Department of Labor: Know Your Rights. Altru participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

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