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Neolytix

Coding Manager - Hybrid

5-7 Years

This job is no longer accepting applications

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  • Posted 7 months ago

Job Description

Job Title:CodingManager Documentation Audit & CDI Operations

Location:Manila / GreaterManila Area, Philippines (hybrid)

Reportsto:DirectorofCompliance & CDI (Chicago HQ)

Employment Type:Fulltime

Role Purpose

Neolytix is rolling out a Documentation Audit & Compliance Program that powers our Neo Scribe ambient AI platform. The Coding Manager will standup and run the Philippines based coding operationsbuilding processes, leading the coder workforce, and hitting accuracy & turnaround SLAs for midmarket U.S. provider clients.

Key Responsibilities

Domain

Core Duties

Process Design & Governance

  • Map and document the full dual coding workflow (baseline, concurrent, retrospective) including sampling logic, interrater checks, escalation paths
  • Embed separation of duties between CDI coaching and coding QA in line with OIG guidance

Team Leadership

  • Hire, onboard, and roster a scalable pool of CPC/CCS certified coders
  • Set daily production targets, vacation calendars, and contingency staffing
  • Conduct monthly 1on1s, performance reviews, and incentive calibration tied to accuracynot RVUs

Quality & Compliance

  • Maintain coder interrater reliability 95%
  • Own the immutable audit log (WORM / blockchain hash)
  • Ensure adherence to HIPAA, CMS E/M, HCC, ICD10CM, CPT and payer specific rules

Analytics & Continuous Improvement

  • Track KPIserror rate, denial rate, turnaround timein PowerBI dashboards
  • Lead root cause analysis on anomalies (upcoding, down coding, copy paste)
  • Drive Lean/Six Sigma projects to cut waste and boost throughput

Stakeholder Management

  • Provide weekly ops reports to the Director of Compliance and U.S. client liaisons
  • Support external payer audits and third party spot checks with ready documentation
  • Coordinate with Data Engineering to refine AI prompt outputs and coding rulesets

Training & Development

  • Curate 15minute microlearning modules; schedule quarterly certification refreshers
  • Mentor senior coders into QA and team lead roles, keeping attrition

    Required Qualifications

    • Education:Bachelor's in Nursing, Health Information Management, or related field
    • Certifications (at least one mandatory):CPC, CCS, COC, CIC, or RHIA/RHIT
    • Experience:
    • 5+years U.S. medical coding, including 2+years supervisory/managerial experience in a BPO or provider setting
    • Proven record establishing coding QA or audit programs (>10k charts/month)
    • Hands on exposure to RAC/MAC or commercial payer audit defense
    • Technical:EHR data extraction, encoder tools, Excel/PowerBI; familiarity with AI assisted coding platforms is a plus
    • Soft Skills:People leadership, process mapping, persuasive English communication

    Compensation Guidance

    Base salary of 70,000110,000 per month (840k1.32M annually) based on experience plus:

    • Performance bonus:up to 20% tied to Goals, accuracy & SLA metrics
    • HMO coverage for employee + dependents, certification renewal subsidy, and annual CPD allowance

    Why Join Neolytix

    Help architect a first of its kind AI enabled, compliance first documentation audit hub serving hundreds of U.S. providerswhile growing a high caliber coding team in the Philippines.

    Ready to elevate coding quality at scale

    Send your rsum and proof of active certification to [Confidential Information] (cc [HIDDEN TEXT]) with the subject Coding Manager PH.

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    About Company

    Job ID: 109964901