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Manager - Profee Multispecialty E/M

Guidehouse
Guidehouse
7+ years
Not Disclosed
Remote, India, India
10 April 24, 2026
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Manager – Profee Multispecialty E/M Coding (Revenue Cycle & Clinical Coding Operations)

Job Overview

A leading healthcare services organization is seeking a Manager – Profee Multispecialty E/M Coding to oversee end-to-end coding operations within the professional fee (Profee) revenue cycle domain. The role focuses on managing coding quality, operational efficiency, compliance, and team performance across multispecialty Evaluation & Management (E/M) coding functions.

This leadership position plays a critical role in ensuring accurate medical coding practices, regulatory compliance, and optimization of healthcare revenue cycle performance.


Experience Required

Minimum 7+ years of experience in medical coding, healthcare revenue cycle management, or clinical coding operations
Prior supervisory or managerial experience in coding operations is required


Job Type

Full-time

Travel Requirement

Up to 25%


Key Responsibilities

  • Oversee daily operations of the multispecialty Profee coding division ensuring accuracy, productivity, and timely completion of work.

  • Monitor coding quality and workflow distribution across teams.

  • Act as primary liaison for revenue cycle initiatives and issue resolution.

  • Coordinate with senior leadership to support KPIs and organizational performance goals.

  • Ensure strict compliance with coding standards, payer guidelines, and government regulations.

  • Maintain up-to-date knowledge of ICD-10-CM, CPT-4, coding updates, and compliance changes.

  • Develop and implement coding policies, procedures, and best practice standards.

  • Manage workload distribution across system-wide coding teams.

  • Identify training needs and collaborate with audit teams for continuous education programs.

  • Provide training and guidance on coding and documentation standards for staff and clinical teams.

  • Conduct annual performance evaluations and support team development initiatives.

  • Ensure adherence to information security and healthcare data confidentiality policies.


Required Skills & Expertise

  • Strong knowledge of:

    • ICD-10-CM, ICD-9-CM, CPT-4 coding systems

    • Medical terminology and healthcare billing workflows

    • Revenue cycle management processes

  • Proven leadership and team management experience in coding operations

  • Strong communication (verbal and written) and stakeholder management skills

  • Ability to prioritize and manage multiple operational workflows

  • Strong analytical and problem-solving capabilities

  • Proficiency in Microsoft Office tools (Excel, Word, PowerPoint)


Certifications Required

  • Certified Professional Coder (CPC) OR

  • Certified Coding Specialist – Physician-based (CCS-P) OR

  • Registered Health Information Administrator (RHIA) OR

  • Equivalent healthcare coding certification


Preferred Skills

  • Experience with data analytics tools and AI-based reporting systems

  • Working knowledge of EPIC EMR systems

  • Experience in surgical coding, audit reviews, and observation coding

  • Exposure to healthcare automation and digital coding platforms


Key Functional Areas

  • Multispecialty E/M Coding Operations

  • Healthcare Revenue Cycle Management

  • Coding Compliance & Audit Management

  • Team Leadership & Workforce Management

  • Clinical Documentation Improvement (CDI)


About the Role

This role is responsible for leading large-scale multispecialty coding operations within the healthcare revenue cycle. The Manager ensures coding accuracy, compliance with regulatory standards, operational efficiency, and continuous improvement across coding teams. The position also plays a key role in staff development, audit readiness, and strategic alignment with organizational KPIs.


Career Impact

  • Senior Coding Manager

  • Revenue Cycle Operations Lead

  • Director – Medical Coding Operations

  • Healthcare Compliance & Audit Leadership Roles