Client Success/ Coding Manager

Calpion/Plutus Health • Dallas, TX

23d

About The Position

We are seeking an experienced Client Success/ Coding Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support. The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred).
• 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
• Certification required : CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
• Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
• Experience in coding audits, denial resolution, and revenue integrity initiatives.
• Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
• Experience managing onshore/offshore coding teams and handling multi-client engagements.
• Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
• Willingness to travel as needed(30-50%).

Responsibilities

• Client Success & Relationship Management: Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
• Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
• Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
• Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.
• Medical Coding & Compliance Oversight: Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
• Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
• Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
• Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
• Provide training and education to clients and internal teams on evolving coding guidelines and best practices.
• Revenue Cycle & Denial Management: Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
• Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
• Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
• Drive coding automation initiatives to improve operational efficiency and minimize manual errors.
• Cross-Functional Collaboration & Leadership: Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
• Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
• Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
• Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.

Benefits

• Work for a fast-growing, innovative company recognized for excellence in healthcare.
• Collaborate with a dynamic, supportive team that values professional development.
• Make a meaningful impact on patient care and operational success.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager