Coding Manager

About Us

Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care.

About the Role
In conjunction with the Director of Revenue Cycle Management, the primary objective of this position is to maximize practice revenue by overseeing coding operations to ensure accuracy, compliance, and efficiency. This role leads and supports coding staff, monitors quality through audits, and ensures adherence to ICD-10, CPT, and HCPCS guidelines. Collaborate with revenue cycle and clinical teams to support accurate reimbursement, resolves coding issues, and implements process improvements. This is a high-impact role at the center of our organization - driving financial performance, operational excellence, and innovation in a complex, procedure-driven environment. You’ll partner closely with executive leadership and physicians to shape strategy, optimize outcomes, and support the continued growth of both CNSA and our MSO platform. 

As Coding Manager, you will:

• Oversee daily coding workflows, queues, and work distribution
• Ensure accurate and timely coding of all surgical encounters and procedures
• Establish and maintain coding SOPs specific to surgical documentation 
• Implement internal pre-bill coding reviews and quality checks 
• Reduce coding-related denials through proactive review and education 
• Manage charge lag related to coding completion
• Hires, trains, and supervises coding department staff both remotely and in-office.
• Performs departmental manager functions to include annual reviews and staff coaching and development. Allocates staff resources within department to meet the needs of a growing practice. 
• Works with the management team to develop and modify processes to ensure appropriate workflow processes are established to meet the needs of a dynamic healthcare environment and creates a positive working relationship among the Revenue Cycle management team.
• Effectively manages on-site and remote staff
• Promotes a positive work environment through effective teamwork
• Complete other tasks or projects as needed or assigned

About You

You are a collaborative and accountable leader who knows how to balance day-to-day operational execution with a forward-looking mindset. You bring strong functional expertise and communicate clearly and effectively, building strong working relationships with physicians, leaders, and team members. You are an invested people leader who coaches and develops talent, sets clear expectations, and fosters a culture of accountability, quality, and continuous improvement. You are proactive in identifying challenges, raising issues, and working through solutions, ensuring that risks are addressed early and effectively. You are energized by solving problems, improving processes, and using data to guide decisions and drive team performance 

If this sounds like you and you have the following qualification, the Coding Manager role may be a great fit:

• 5+ years of medical coding experience with direct surgical / procedural coding exposure 
• Mastery of CPT, ICD-10-CM, HCPCS, and official coding guidelines 
• Deep understanding of global surgical packages, NCCI edits, and modifier usage (e.g., 22, 24, 25, 57, 58, 59, 78, 79) 
• Ability to interpret operative reports, imaging, implants, DME, and complex procedures 
• Knowledge of payer-specific coding policies for Medicare, Medicaid, and commercial plans 
• Experience across office, hospital, and ASC surgical environments
• CPC Certification Required
• E/M coding, LCD coding, and NCD coding knowledge required
• Orthopedic or Neurosurgical coder experience preferred
• Bachelor’s degree in a relevant field, or equivalent combination of education and experience

If you have the following preferred qualifications, you may be the ideal candidate for this role:

• Master's degree in a relevant field
• CPC Certification
• MSO experience