medical coding manager

Lee Health

<div><p><b>Location: Remote - Florida</b></p><p><b>
Department: </b>Coding</p><p><b>
Work Type:</b> Full Time</p><p><b>
Shift:</b> Shift 1/ to
</p><p><b>Minimum to Midpoint Pay Rate:</b>$72,738 - $94,557 / Annual</p><h2 class="jobSectionHeader"><b>
Summary</b></h2><p>
Lee Health is seeking a <b>Manager, Medical Coding &amp; Education</b> to lead our Physician Group (LPG) coding education and reimbursement specialist teams. This role plays a critical part in strengthening documentation quality, coding accuracy, and denial prevention across the organization. The Manager will oversee educational audit programs, develop provider education initiatives, and guide teams responsible for coding education, denial appeals, and documentation improvement.</p><p>
This position partners closely with physicians, advanced practice providers (APPs), coding teams, revenue integrity, compliance, and information systems teams to support accurate claims reporting, regulatory compliance, and optimized reimbursement. The ideal candidate brings deep professional coding expertise, leadership experience, and the ability to translate complex regulatory guidance into actionable education for providers and operational leaders.</p><h3 class="jobSectionHeader"><b>
What Youll Do</b></h3><ul><li><p>
Lead and oversee the <b>LPG Coding Education and Reimbursement Specialist teams</b>, ensuring high-quality audits, education initiatives, and denial prevention strategies.</p></li><li><p>
Develop and maintain <b>coding education programs, presentations, tip sheets, newsletters, and on-demand training</b> focused on documentation improvement and coding accuracy.</p></li><li><p>
Analyze trends in coding errors, documentation deficiencies, and claim denials, and implement targeted education plans to address improvement opportunities.</p></li><li><p>
Provide subject matter expertise on <b>CPT, HCPCS, ICD-10-CM, and E/M documentation guidelines</b> for physicians, APPs, coders, and leadership.</p></li><li><p>
Research, appeal, and resolve denied insurance claims related to coding and documentation accuracy to protect organizational revenue.</p></li><li><p>
Communicate complex regulatory guidance from agencies such as <b>CMS, AMA, OIG, and other regulatory bodies</b> into clear, actionable education.</p></li><li><p>
Maintain detailed records of audits, provider outcomes, and educational initiatives while monitoring performance improvement efforts.</p></li><li><p>
Collaborate with <b>Compliance, Revenue Integrity, Coding, and Accounts Receivable teams</b> to ensure accurate claims reporting and regulatory adherence.</p></li><li><p>
Partner with <b>Information Systems and Medical Informatics teams</b> to enhance Epic documentation tools, including templates, smart phrases, and workflow improvements.</p></li><li><p>
Represent coding and documentation education in committees, meetings, and new service line planning initiatives.</p></li></ul><h3 class="jobSectionHeader"><b>
Required Qualifications</b></h3><p><b>
Education</b></p><ul><li><p>
Associates degree in business or a related field <b>or</b> two years of relevant experience in lieu of a degree.</p></li></ul><p><b>
Experience</b></p><ul><li><p>
Minimum <b>3 years of professional coding experience</b>.</p></li><li><p>
Minimum <b>2 years of supervisory or project leadership experience</b>.</p></li><li><p>
Extensive knowledge of <b>CPT, HCPCS, ICD-10-CM, outpatient coding, E/M guidelines, and documentation standards</b>.</p></li><li><p>
Experience researching and resolving coding-related claim denials.</p></li></ul><p><b>
Certifications</b></p><ul><li><p><b>
CPC Certified Professional Coder (required)</b></p></li><li><p><b>
CPMA Certified Professional Medical Auditor (required)</b></p></li></ul><h3 class="jobSectionHeader"><b>
Preferred Qualifications</b></h3><ul><li><p>
Experience in <b>coding education, training, or leadership roles</b>.</p></li><li><p>
Experience presenting to physicians, leadership, and operational teams.</p></li><li><p>
Proficiency in <b>Microsoft Office (Word, Excel, PowerPoint)</b>.</p></li></ul><h3 class="jobSectionHeader"><b>
Key Skills</b></h3><ul><li><p>
Strong communication and presentation skills with the ability to educate providers and leadership audiences.</p></li><li><p>
Excellent analytical thinking and investigative research skills.</p></li><li><p>
Ability to interpret regulatory guidance and translate it into actionable education.</p></li><li><p>
Highly organized with strong attention to detail and the ability to manage multiple priorities.</p></li><li><p>
Collaborative mindset with the ability to work effectively across departments and leadership levels.</p></li><li><p>
Adaptability and resilience in a dynamic, fast-paced healthcare environment.</p></li></ul><h3 class="jobSectionHeader"><b>
Why Lee Health</b></h3><p>
Lee Health is a nationally recognized, not-for-profit health system serving Southwest Florida. Our mission-driven culture emphasizes collaboration, innovation, and continuous improvement to deliver exceptional care to our community. As part of our team, youll help advance documentation excellence, regulatory compliance, and revenue integrity while supporting clinicians across the organization.</p><p><b>
Location:</b> Remote must reside in Florida.</p></div>

Manager Coding Education and Denials

HNI Healthcare

<p><b>Who is HNI?</b></p><p><i>We reveal and realize opportunity - opportunity to transform healthcare to a value-based, patient-centered, sustainable system. A system where clinical, operational and financial outcomes are balanced and optimized. We are relentlessly focused on meeting our partners&rsquo; requirements for meaningful results. Our powerful analytics enable informed decisions. Our technology drives clinical workflow. Our honed business processes drive efficiency, and engaged providers act as clinical stewards in the delivery of compassionate care. We engage in partnerships that forge a bold path for a new model of healthcare &ndash; and our client&rsquo;s daring transformation.</i></p><p><b>CANDIDATES LOCATED IN THE AUSTIN AREA ARE PREFERRED</b></p><p><b>What's the Position?</b></p><p>The Compliance and Coding Manager is responsible for leading, developing, and managing all aspects of the Compliance Program. This role ensures the Company&rsquo;s adherence to federal, state, and local healthcare regulations while maintaining accurate and compliant coding and billing practices. Reporting to the CFO this leader plays a critical part in fostering a culture of ethical conduct, regulatory compliance, operational excellence, and documentation and coding accuracy across the organization.</p><p><b>What Are The Key Responsibilities:</b></p><ul><li>Compliance &amp; Regulatory Oversight</li><li>Develop, implement, and maintain an effective Compliance Program aligned with applicable healthcare regulations, including policies, procedures, and best practices.</li></ul><p>Documentation and Coding Management</p><ul><li>Manage and supervise the documentation and coding review team, providing guidance, training, and performance management.</li><li>Review and analyze medical records to ensure accurate coding in accordance with federal and payer guidelines.</li><li>Monitor coding productivity and quality; implement process improvements to enhance accuracy and efficiency.</li><li>Develop and maintain coding policies, procedures, and documentation standards.</li><li>Conduct regular coding audits to identify compliance gaps and areas for improvement.</li><li>Stay current on coding guidelines, regulatory changes, and industry best practices; evaluate and implement advancements in coding technology.</li></ul><p>Leadership &amp; Collaboration</p><ul><li>Partner with clinical and operational leaders to achieve company and departmental goals.</li><li>Mentor and develop direct reports, fostering professional growth and high performance.</li><li>Monitor regulatory changes, conduct risk assessments, and ensure organizational practices remain compliant.</li><li>Conduct risk assessments, identify risk areas, and recommend and implement corrective actions.</li><li>Conduct and manage internal audits for billing and operational centers; participate in meetings, calls regarding significant carrier audits, investigations, and disclosures.</li><li>Maintain relationships with regulatory agencies and carriers; prepare management and compliance reports as required.</li><li>Manage compliance records including review logs, hotline logs, and inquiry logs.</li><li>Develop and oversee compliance-related educational training programs (e.g., HIPAA, Code of Conduct, compliance laws and regulations).</li></ul><p><i><b>Education and/or Experience</b></i></p><ul><li>Bachelor&rsquo;s degree in Health Information Management, Healthcare Administration, or related field (Master&rsquo;s degree a plus).</li><li>Minimum 5&ndash;8 years of healthcare and compliance-related experience, including knowledge of clinical records, billing, and auditing.</li><li>At least 5 years of coding experience, with 2+ years in a managerial or supervisory role.</li><li>Prior experience in patient chart audits for clinical documentation and billing programs in a provider group preferred.</li></ul><p><i><b>Certifications and/or Licenses</b></i></p><ul><li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)</li><li>Healthcare compliance certification (e.g., CHC, CHPC) preferred.</li></ul><p><b>Equal Opportunity/Affirmative Action/Veterans/Disability Employer committed to diversity.</b></p><p>Job Type: Full-time</p><p>Pay: $90,000.00 - $100,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Application Question(s):</p><ul><li>What is your annual salary requirement?</li></ul><p>Work Location: Remote</p>

Coding and Compliance Manager (HEALTHCARE )

Washington Regional Medical Center

<div><p><b>Organization Overview, Mission, Vision, and Values</b></p><p>
Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News &amp; World Report. We employ 3,400+ team members and serve the region with over 40 clinic locations, the region&rsquo;s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.
</p><p></p><p><b>Position Summary</b></p><p>
The role of the Inpatient Coding Manager reports to the Director of Revenue Integrity. This position is responsible for managing staff to ensure accurate and timely coding of all outpatient facility records. This position will address personnel, production, and system issues and are responsible for overseeing and supporting the continued development of the coding department.
</p><p></p><p><b>Essential Position Responsibilities
</b></p><ul><li>Organize, direct, and coordinate daily job functions of the inpatient coding teams</li><li>
Develop and maintain department policies and procedures, productivity standards, and educational and training materials for coders across all specialties</li><li>
Educate providers and other health care professionals on proper documentation practices to ensure accurate billing practices</li><li>
Apply coding knowledge to lead the DRG, MCC/CC, hierarchal condition categories, and risk adjustment coding efforts as well as supportive activities.</li><li>
Work with clinical quality to ensure accurate capture of outcomes data as directly correlated with complications, PSI/HACs, readmissions and mortality measures.</li><li>
Communicate coding issues with necessary parties and ensure timely education is provided if processes are updated</li><li>
Ensure all inpatient coding processes meet state and federal regulatory requirements</li><li>
Maintain a current knowledge of ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding; including continuous knowledge of quarterly and annual code changes, coding rules and guidelines as well as LCD/NCD guidelines</li><li>
Conduct ongoing performance assessment of staff competency and provide timely and appropriate feedback</li><li>
Enforce the use of physician queries, as appropriate</li><li>
Perform continuous quality and compliance review of coded records and ensure accuracy by the coding specialists</li><li>
Work closely with central billing, clinical documentation improvement program and other services to assist and/or coordinate in resolving account, coding, and charge capture issues</li></ul><p>
</p><p><b>Qualifications</b></p><ul><li><b>
Education</b>: High school diploma or GED; Bachelor&rsquo;s degree preferred</li><li><b>
Licensure and Certifications</b>: Obtain within 1 year AHIMA credentials: RHIT, RHIA, CCS, or CCS-P and/or, AAPC credentials: CPPM, CPMA, CRC, COC, CPC, or CPC-H, required.</li><li><b>
Experience</b>: Minimum 2 years in a supervisory or management role, required.
</li></ul><p><b>Work Environment:</b> This position will spend 80% of time sitting while performing work in a standard office environment and 20% of time standing and/or walking while pushing, pulling, lifting and/or carrying up to 50 lbs.</p></div>

Inpatient Coding Manager (Full-Time, Monday - Friday)

Seattle Children's

<p></p><div><p><b><i>Please note: This posiiton is remote for WASHINGTON STATE ONLY.</i></b></p><p></p><p>
This leadership role is responsible for managing the daily operations of the Professional Coding and Charge Capture Department. This role leads work to ensure that professional services charge capture integrity, diagnosis coding, CPT coding, and documentation standards and processes align to maximize the quality and accuracy of professional services revenue capture. The manager role provides leadership and direction to coding supervisors and leads responsible for recruiting, training, auditing and developing coding staff, and is often called upon as the primary resource to assess coding workflow system functionality, optimization, and upgrades. Frequent collaboration between hospital billing practice and physician practice plan leaders is expected to promote consistency and alignment in the application of national coding guidelines and rules, or reasoned justification and documentation for differences. The role also routinely collaborates with other managers and senior leaders within the revenue cycle and health information integrity departments, IT analysts, specialty clinic service line leaders, billing compliance professionals, and others as needed. Functional assignments are fluid and may be reassigned to address business needs.</p><p><br>
</p><p><b>Required Education and Experience</b><br>
Bachelor's Degree in health services, public health, social sciences, business, health informatics, accounting or related field or a combination of equivalent post secondary education and prior leadership experience equal to at least five years in a hospital or clinic patient accounts department.<br>
Minimum five years supervisory experience<br>
<br>
<b>Required Credentials</b><br>
Certified Professional Coder (CPC) certification<br>
<br>
<b>Preferred</b></p><p></p><p><b>
Epic experience and charge capture reconciliation experience highly desired</b><br>
Four or more years people leadership experience in coding/health information management in a pediatric specialty hospital or pediatric multi-specialty provider setting.<br>
Experience with Epic, Experian and 3M charge capture and coding applications.</p><p></p><p><b>
Compensation Range</b></p>
$107,431.00 - $161,147.00 per year<p></p><p><b>
Salary Information</b></p><p>
This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.</p><p></p><div><p><b>
Disclaimer for Out of State Applicants</b></p><p>
This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors<b>.</b></p><p></p><div><p><b>
Benefits Information</b></p><p>
Seattle Children&rsquo;s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.</p><p></p><div><p><b>
About Us</b></p><p><b>
Hope. Care. Cure. These three simple words capture what we do at Seattle Children&rsquo;s &ndash; to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE</b></p><p></p><p>
Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families&rsquo; ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho &ndash; the largest region of any children&rsquo;s hospital in the country.<br>
<br>
U.S. News &amp; World Report consistently ranks Seattle Children&rsquo;s among the nation&rsquo;s best children&rsquo;s hospitals. For more than a decade, Seattle Children&rsquo;s has been nationally recognized in key specialty areas. We are honored to be one of the nation&rsquo;s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.</p><p></p><p>
As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it&rsquo;s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.</p><p></p><p><b>
Our Commitment
</b></p><p>Seattle Children&rsquo;s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.</p><p></p><p>
The people who work at Seattle Children&rsquo;s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.</p><p></p><p>
Seattle Children&rsquo;s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.</p></div></div></div></div>

Manager, Professional Services Coding & Charge Capture

Tenet Healthcare

<div><h3 class="jobSectionHeader"><b>Overview</b></h3><br>
<b>Who We Are</b><div><br>
<br>
</div><div>We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.</div><br>
<div>
<br>
</div><div><b>Our Story</b></div><br>
<div>
<br>
</div><div>We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.</div><br>
<div>
<br>
</div><div>We have a rich history at Tenet. There are so many stories of compassionate care; so many &quot;firsts&quot; in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.</div><br>
<div>
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</div><div><b>Our Impact Today</b></div><br>
<div>
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</div><div>Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.</div><br>
<div>
<br>
</div><div>Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.</div><br>
<div>
<br>
</div><div>Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
</div><h3 class="jobSectionHeader"><b>Job Summary</b></h3>
<p>The <b>Regional Corporate Coding Manager</b> (TPR) functions under the direction of the Director of Corporate Coding.
</p><p>This role provides regional coding management oversight of coding operations for Tenet Physician Resources (TPR). This individual is responsible for managing all coding operations activities in collaboration with the Director of Coding. Manages daily unbilled activities with Tenet coders, GBC Coders, and vendor coders to ensure unbilled coding is within standard. Drives process improvement around denials and voids to ensure standard is met. Ensures alignment and partnership with facility leaders, providers and RCM.</p>
<p>
</p><p></p><h3 class="jobSectionHeader"><b>Responsibilities</b></h3>
<p><i>ESSENTIAL DUTIES AND RESPONSIBILITIES:</i></p>
<ul>
<li>Cultivates relationships and alignment with TPR VPs, BOMs, RCM Leaders, and physicians</li>
<li>Daily unbilled coding update by 9am CST &ndash; including action plans</li>
<li>Month unbilled coding update during last 5 working days at month end &ndash; including action plans</li>
<li>Drive Denial and Voids improvements and action plans included in MOR</li>
<li>Direct oversight and development of GBC profee coders</li>
<li>Completes and sustains transition and ongoing success of vendor coding</li>
<li>Monthly MOR reporting to include quality and productivity data with action plans</li>
<li>Monthly EM distribution report by Market &ndash; collaborates with CE Leader for audit and improvement</li>
</ul><h3 class="jobSectionHeader"><b>Qualifications</b></h3>
<p>Required:</p>
<ul>
<li>Associates Degree in Health Information Management or associated healthcare field of study.</li>
<li>Minimum of four years of profee coding experience.</li>
<li>One year of profee coding leadership experience.</li>
<li>AAPC Coding Credential or like credential from AHIMA</li>
<li>Thorough knowledge of profee coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of reimbursement structure.</li>
<li>Effective written and verbal communication skills.</li>
<li>Experience with encoders and computerized abstracting systems.</li>
<li>Coding proficiency demonstrated by successful completion of Tenet coding exercise.</li>
<li>Organizational skills for initiation and maintenance of efficient workflow.</li>
<li>Capacity to work independently.</li>
</ul>
<p>Preferred:</p>
<ul>
<li>Bachelor&rsquo;s Degree in Health Information Management or associated healthcare field of study.</li>
<li>Five or more years of profee coding experience.</li>
<li>Five or more years of directly leading large coding teams in a complex provider-based system.</li>
</ul>
<p>Compensation</p>
<ul>
<li>Pay: $85,280-$136,032 Compensation depends on location, qualifications, and experience.
</li><li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
</li><li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p>Benefits</p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Paid time off (vacation &amp; sick leave)
</li><li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act is available.</li>
</ul>
<p>#LI-CM7</p>
<h3 class="jobSectionHeader"><b>
Organization Description</b></h3>
<b>Careers at Tenet</b><div><br>
<br>
</div><div>At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.</div><br>
<div>
<br>
</div><div>As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.
</div>
<p>Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.<br>
Tenet participates in the E-Verify program. Follow the link below for additional information.<br>
E-Verify: http://www.uscis.gov/e-verify<br>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
</p>
2603005883</div>
<br>
<div><p><i>ESSENTIAL DUTIES AND RESPONSIBILITIES:</i></p>
<ul>
<li>Cultivates relationships and alignment with TPR VPs, BOMs, RCM Leaders, and physicians</li>
<li>Daily unbilled coding update by 9am CST &ndash; including action plans</li>
<li>Month unbilled coding update during last 5 working days at month end &ndash; including action plans</li>
<li>Drive Denial and Voids improvements and action plans included in MOR</li>
<li>Direct oversight and development of GBC profee coders</li>
<li>Completes and sustains transition and ongoing success of vendor coding</li>
<li>Monthly MOR reporting to include quality and productivity data with action plans</li>
<li>Monthly EM distribution report by Market &ndash; collaborates with CE Leader for audit and improvement</li></ul></div>
<br>
<div><p>Required:</p>
<ul>
<li>Associates Degree in Health Information Management or associated healthcare field of study.</li>
<li>Minimum of four years of profee coding experience.</li>
<li>One year of profee coding leadership experience.</li>
<li>AAPC Coding Credential or like credential from AHIMA</li>
<li>Thorough knowledge of profee coding principles associated with Official Coding Guidelines and regulatory requirements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of reimbursement structure.</li>
<li>Effective written and verbal communication skills.</li>
<li>Experience with encoders and computerized abstracting systems.</li>
<li>Coding proficiency demonstrated by successful completion of Tenet coding exercise.</li>
<li>Organizational skills for initiation and maintenance of efficient workflow.</li>
<li>Capacity to work independently.</li>
</ul>
<p>Preferred:</p>
<ul>
<li>Bachelor&rsquo;s Degree in Health Information Management or associated healthcare field of study.</li>
<li>Five or more years of profee coding experience.</li>
<li>Five or more years of directly leading large coding teams in a complex provider-based system.</li>
</ul>
<p>Compensation</p>
<ul>
<li>Pay: $85,280-$136,032 Compensation depends on location, qualifications, and experience.</li>
<li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.</li>
<li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p>Benefits</p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Paid time off (vacation &amp; sick leave)</li>
<li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act is available.</li>
</ul>
<p>#LI-CM7</p></div>

Regional Corporate ProFee Coding Manager - TPR - Remote based in US

Covenant Health

<div>Overview:<div></div><div><b><br>
Coding Specialist, Centralized Coding, Outpatient</b></div><div><b>
Full Time, 80 Hours Per Pay Period, Day Shifts</b></div><div></div><div><b><br>
Covenant Health Overview:</b></div><div>
Covenant Health is the region&rsquo;s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area&rsquo;s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area&rsquo;s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes &ldquo;Best Employer&rdquo; seven times.</div><div></div><div><b><br>
Position Summary:</b></div><div>
This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines.</div>
Responsibilities:
<ul><li>Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.</li><li>
Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.</li><li>
Educates and assists physicians and clarifies coding versus clinical issues.</li><li>
Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.</li><li>
Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.</li><li>
Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.</li><li>
Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.</li><li>
Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.</li><li>
Increases awareness of compliance as it relates to coding and documentation.</li><li>
Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.</li><li>
Increases understanding of APCs, DRGs, case mix, and denials.</li><li>
Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.</li><li>
13 Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.</li><li>
Reviews records to verify if the correct code has been assigned.</li><li>
Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.</li><li>
Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.</li><li>
Keeps current on local, state, and federal regulations to ensure compliance.</li><li>
Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.</li><li>
Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.</li><li>
Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.</li><li>
Analyzes denials and coordinates appeals.</li><li>
Ensures corrective action is taken to prevent denials from reoccurring.</li><li>
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications:
<div><b>
Minimum Education:</b>
</div><div>None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.</div><div></div><div><b><br>
Minimum Experience:</b>
</div><div>Five or more (5+) years coding experience.</div><div></div><div><b><br>
Licensure Requirement:</b>
</div><p>RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.</p></div>

CODING SPEC-CLINIC

Gastro Office LLC

<p>Job Title: Revenue Cycle Manager</p><p>Location: Hilliard, Ohio (Gastro Office &amp; Hilliard Endo Center &ndash; separate tax IDs)</p><p>Reports To: Office Manager (with close collaboration with COO and CEO)</p><p>Direct Reports: 1 Billing Specialist (focused on patient collections, down payments, time-of-service fees, and financial arrangements)</p><p><b>Position Summary</b></p><p>Gastro Office, a growing gastroenterology practice with an attached Quad A-accredited ambulatory surgery center (Hilliard Endo Center), seeks a proactive Revenue Cycle Manager to own end-to-end revenue integrity, coding accuracy, and financial performance. This hands-on leadership role combines deep GI/ASC coding expertise with oversight of outsourced billing, denial reduction, and KPI tracking to drive cash flow and support our Vision.</p><p><b>Core Responsibilities</b></p><p>Coding &amp; Charge Integrity</p><ul><li>Assign and oversee accurate CPT, ICD-10, and HCPCS coding for professional (physician) and facility (ASC) charges, with focus on high-volume GI procedures and compliance with NCCI edits/bundling rules.</li><li>Review and audit medical documentation (procedure notes, op reports, pathology results) for completeness, medical necessity, and specificity identify issues like missing extent of exam (e.g., cecum reached), indication, or findings that trigger denials.</li><li>Conduct charge capture audits and random reviews of endoscopy cases to catch missed revenue (e.g., unreported biopsies, sedation, implants/supplies, add-on codes for dilation/stents).</li><li>Manage coding compliance and quality: Monitor upcoding/downcoding risks, stay current on annual CPT/ICD-10 updates (via AAPC, AGA, ASGE, CMS), implement internal checks, and maintain &gt;95% clean claim rate.</li><li>Research and implement new CPT/HCPCS codes for emerging business lines and link directly to documentation requirements, physician education sessions, and charge master updates to capture new revenue.</li></ul><p>Denials &amp; Performance Management</p><ul><li>Perform root-cause analysis on coding-related denials (e.g., incorrect modifier, documentation specificity); categorize all denials, provide targeted physician pointers/education, and track reductions as a Scorecard metric.</li><li>Oversee full revenue cycle KPIs (Days in A/R, denial rate by category including coding, clean claim %, net collection rate, bad debt %) run weekly dashboards, flag trends, and present.</li></ul><p>Team &amp; Vendor Oversight</p><ul><li>Supervise and train 1 Billing Specialist on coding-impacting tasks (e.g., how front-end errors affect claims); delegate patient collections/follow-up to them</li><li>Manage relationship with 3rd-party billing company: Conduct weekly check-ins, performance reporting (e.g., coding accuracy audits) and issue escalation</li><li>Collaborate with Office Manager on front-end processes: Quick huddles/shared dashboard reviews for eligibility/authorization issues; ensure reception captures accurate patient info to prevent demographic denials.</li></ul><p>Additional Key Responsibilities</p><ul><li>Denial management deep-dive: Full categorization, physician education, and improvement tracking.</li></ul><p>Job Type: Full-time</p><p>Pay: From $68,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Healthcare Revenue Cycle Manager for GI clinic

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