Manager, Coding & Billing Integrity - Remote (US)
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About The Position
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team. Theoria Medical is seeking a seasoned billing and coding expert with a proven track record to join our dynamic organization. The Manager of Coding, Billing, and Documentation Integrity is a hands-on leader responsible for driving accurate coding, compliant billing, and strong clinical documentation practices across our primary care operations. This role is focused on professional fee services, with an emphasis on E/M coding, chronic condition documentation, risk adjustment (HCC/RAF) capture, and denial prevention. The Manager works closely with providers to ensure clean claims, optimal reimbursement, and strong audit readiness. This is an execution-heavy role ideal for someone who thrives in the weeds reviewing charts, leading provider education, running internal audits, and owning coding/billing workflows that directly impact revenue.
