Manager PB Coding Denials Integrity - Medical Specialties
Core
Lead professional billing coding denials and revenue cycle integrity operations across multiple medical specialties, ensuring compliance and financial outcomes.
Role type
Manager, Healthcare Revenue Cycle Operations
Builds
Standardized workflows and operational processes for mid-revenue cycle functions
Domain
Healthcare / Medical Billing & Revenue Cycle
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Mid-revenue cycle operations management, professional and facility coding, Health Information Management (HIM), regulatory compliance, data analysis, EHR systems, team leadership, process optimization
Preferred skills
Dual coding certification (AAPC/AHIMA), experience in large integrated healthcare systems, matrixed organization navigation
Technologies
EHR systems, Microsoft 365 (Teams, SharePoint, Word, Excel, PowerPoint, Access), analytics tools
Responsibilities
Lead daily operations for coding denials and integrity; Evaluate and improve workflows for efficiency and consistency; Monitor compliance with regulatory and accreditation standards; Establish and analyze KPIs to drive operational improvements; Partner with clinical, IT, and finance leaders to align processes; Lead and develop a team through hiring, coaching, and performance management; Support a broad portfolio of medical specialties including laboratory, pathology, and various clinical divisions
Seniority
Manager, hands-on leadership
