Healthcare Manager Jobs

About The Position

Requirements

• Bachelor’s degree in a business or health-related field, or an equivalent combination of education and work experience.
• Professional coding certification, such as CPC or CCS, is required.
• 3–5 years of healthcare industry experience with documented upward mobility.
• 2–3 years of anesthesia experience.
• In-depth knowledge of CPT, ICD-10, HCPCS, and ASA coding.
• In-depth knowledge of Medicare, Medicaid, Workers’ Compensation guidelines, payer requirements, and billing standards.
• Strong understanding of healthcare coding compliance requirements and applicable federal and state regulations, CMS guidelines, and healthcare reimbursement regulations.
• Understanding of HIPAA, patient privacy, and confidentiality requirements.
• Experience identifying coding compliance risks and implementing appropriate corrective actions.
• Strong auditing, analytical, and problem-solving skills, including the ability to identify trends, discrepancies, and potential compliance concerns.
• In-depth knowledge of patient accounting systems and ability to adapt prior knowledge to current software.
• In-depth knowledge of anesthesia and chronic or acute pain billing.
• Strong understanding of healthcare reimbursement methodologies and regulations.
• Excellent verbal and written communication skills.
• Ability to prioritize work and work independently with minimal supervision.
• Ability to work effectively with staff, physicians, leadership, and external customers.
• Strong skills with Microsoft Word, Excel, and PowerPoint.
• Pleasant disposition and tolerance for diverse views and opinions; ability to motivate diverse personalities.
• Ability to speak, read, and write in English.
• Skill in gathering, reporting, analyzing, and interpreting information.
• Residence in Arizona, Texas, Tennessee, New Hampshire, Florida, or North Carolina is required for this remote position.

Nice To Haves

• Additional coding, compliance, auditing, or healthcare revenue cycle certifications.
• 2–3 years of supervisory experience.
• Experience performing coding audits, monitoring coding compliance, and/or developing corrective action plans.
• Membership and active participation in professional organizations.

Responsibilities

• Manage the Coding team, including hiring, training, performance evaluation, and professional development.
• Provide ongoing coder education on compliance, regulatory updates, payer requirements, and industry standards.
• Develop, implement, and monitor Coding team compliance policies and procedures.
• Ensure coding practices meet applicable CMS, Medicare, Medicaid, Workers’ Compensation, payer, and industry requirements.
• Ensure documentation supports billed services and assigned CPT, ICD-10, HCPCS, and ASA codes.
• Monitor coder productivity, accuracy, quality, compliance, turnaround time, and daily concurrency; communicate expectations and address trends or issues.
• Provide coding guidance to physicians, CRNAs, and other providers on documentation, coding requirements, and compliance standards.
• Audit coding work queues and conduct or coordinate routine coding audits.
• Review audit findings and implement corrective action plans, retraining, and follow-up monitoring as appropriate.
• Maintain current knowledge of healthcare regulations, CMS requirements, payer policies, coding guidelines, and standards affecting anesthesia and pain management coding.
• Identify, escalate, and assist in resolving potential compliance concerns, billing discrepancies, and regulatory, financial, or operational risks.
• Support internal and external audits, payer audits, compliance reviews, and regulatory inquiries related to coding.
• Maintain knowledge of billing systems, coding software, and automation processes to support accurate, compliant workflows.
• Protect patient health information and follow HIPAA and company privacy, security, compliance, and information systems policies.
• Mentor employees, conduct performance evaluations, counsel staff, provide disciplinary actions, and support individual and team development.
• Identify process improvements and automation opportunities while maintaining coding accuracy, quality, and compliance.
• Maintain documentation of coding audits, education, corrective actions, and compliance activities.
• Monitor coding trends and regulatory changes and communicate relevant updates to leadership and the Coding team.
• Perform other duties as assigned.

Benefits

• Competitive pay and benefits package.
• Annual bonus; full-time positions are eligible for a discretionary bonus.
• Generous paid time off.
• 401(k) contribution/Safe Harbor.
• Flexible work environment.
• Career advancement opportunities with a growing company.
• Comprehensive benefits package for full-time positions.