Orthopedic Coding Manager | $100K–$125K | RCM Leadership in Columbus
Career & Market Insight
This is a mid-to-senior management role in a specialized niche — surgical orthopedic coding (hand, foot, ankle) — where experienced talent is genuinely scarce. The 7-year experience floor combined with 3+ years of management experience positions this as a serious leadership hire, not an entry-level promotion opportunity.
Compensation: The $100,000–$125,000 range is competitive but not exceptional for a coding manager with this level of specialization. Industry benchmarks for similar roles in the US typically range from $90,000 to $140,000+, depending on company size and geography. If you have strong surgical orthopedic credentials and leadership experience, there may be room to negotiate toward the top of the band.
Skills you'll develop:
- People management at scale (coaching, corrective action, performance evaluation)
- KPI-driven operational leadership in a compliance-heavy environment
- Deep payer guideline expertise and denial management strategy
- Cross-functional stakeholder influence (Billing, Clinical, Compliance)
Green flags: Clear KPI structure (98%+ accuracy target), defined escalation paths, and a career ladder (Manager → Senior Manager → Director) suggest an organized company with room for advancement. The comprehensive benefits package is above average for a mid-sized RCM firm.
Red flags to watch: The description doesn't specify team size, which makes it hard to assess management span. Ask during interviews how many direct reports and coders are in scope, as this significantly affects workload and burnout risk.
Headquarters:
URL: https://www.altevarcm.com
About Us
At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.
Position Summary
The Orthopedic Coding Manager provides direct operational and people leadership for a team of coders in the surgical orthopedic specialty. This role has front-line accountability for the daily performance, accuracy, and productivity of their team, and serves as the primary escalation point for complex coding, documentation, and payer-related issues raised by Team Leads and coding staff. The Manager ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with Billing, Clinical, and Compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.
Key Responsibilities
Team Leadership & Development
- Lead, coach, and develop the members assigned to their team
- Allocate work across their team based on complexity, volume, specialty, and individual capacity
- Support recruiting, onboarding, and competency validation for new and existing team members
- Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards
- Address performance gaps through structured coaching and corrective action plans as needed
- Conduct regular operational reviews with each direct report to assess capacity, performance, backlog risk, compliance risk, education effectiveness, and cross-functional blockers
Escalation Management
- Serve as the primary escalation point for the team on complex coding scenarios, documentation concerns, payer conflicts, and account-level issues that exceed Team Lead or Associate-level resolution
- Resolve escalated coding questions in alignment with official coding guidelines and payer requirements
- Track escalation volume, trends, and resolution time; identify recurring issues and implement targeted coaching and suggest workflow adjustments when needed
- Escalate systemic, high-risk, or unresolved issues to the Senior Medical Coding Manager with clear documentation and recommended next steps
Operational Oversight
- Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards
- Ensure appropriate work distribution across the team based on complexity, volume, and individual capacity
- Monitor backlog levels and risks; escalate issues with data-backed recommendations to the Senior Medical Coding Manager
- Maintain team-level adherence to departmental policies and procedures consistent with official coding guidelines and payer requirements
Compliance & Audit Oversight
- Oversee coding audits, ensuring timely response, documentation support, and completion of corrective actions
- Monitor the team's adherence to coding rules, including documentation requirements
- Maintain audit-ready processes and participate in compliance initiatives, education, and reporting
Revenue Cycle & KPI Management
- Monitor team KPIs, including coding quality scores, productivity, and turnaround times
- Partner with Billing and Revenue Cycle teams to support clean claim submission and reduce coding-related denials
- Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements
Cross-Functional Collaboration
- Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation
- Partner with the Coding Director and Coding Senior Manager to prepare and document Alteva coding guidance, coding rules, and nuances related to assigned specialties
- Ensure coding LOA alignment and provide education to the authorizations team when needed
Key Performance Indicators
- Team coding accuracy rate (target: 98%+)
- Productivity per coder against established benchmarks
- Turnaround time compliance by specialty/service line
- Escalation volume trend and escalation resolution time
- Audit finding rate and corrective action closure timeliness
- Denial rate attributable to coding errors
Experience & Requirements
- High School Diploma or equivalent required; Bachelor's degree preferred
- Minimum of 7 years' experience in complex Orthopedic (Hand, foot, ankle) coding
- Minimum of 3+ years in a leadership or management role
- Strong understanding of billing, coding (CPT, ICD-10), and payer guidelines
- Proven track record of driving revenue performance and improving operational outcomes
- Experience managing client relationships in a healthcare or revenue cycle environment
- Strong analytical skills with the ability to interpret data and translate insights into action
- Advanced proficiency in Microsoft Office applications (especially Excel) and reporting tools
- Excellent communication, leadership, and interpersonal skills
- Demonstrated ability to manage multiple priorities in a fast-paced environment
Additional Qualifications
- Strong leadership presence with the ability to influence, motivate, and develop high-performing teams
- Strategic thinker with a results-driven and revenue-focused mindset
- Ability to collaborate cross-functionally and influence stakeholders at all levels
Pay Range
$100,000 — $125,000 USD
Benefits
Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability, and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program, and an employee referral program.
To apply: https://weworkremotely.com/remote-jobs/alteva-rcm-orthopedic-coding-manager
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