Senior Coding And Compliance Manager

Summary

Join our team as an experienced and strategic leader for our Financial Operations team! You will build and oversee medical coding compliance, ensuring adherence to healthcare regulations and enhancing accuracy and efficiency. Leverage your expertise as a medical coder and management experience to work cross-functionally and ensure regulatory compliance. Your consulting experience and strong background in establishing coding compliance functions will be highly valuable. We offer a 100% remote work environment with attractive pay and benefits, including comprehensive health benefits, 401(k), generous time off, paid parental leave, and more. We are committed to diversity, equity, and inclusion.

Requirements

• 8+ years of relevant experience
• Experience with a consulting-like approach to solving a problem at scale using non-traditional team based approaches
• Experience as a certified medical coder (CPC or equivalent) with hands-on experience in medical coding, including proficiency in coding systems such as ICD-10, CPT, and HCPCS
• Experience applying structure, prioritization and effective communication to solve problems not just for the current state, but also predict future need and scale operations
• Proven leadership ability with experience managing and mentoring teams in coding compliance, auditing, or related healthcare functions
• Strong understanding of healthcare regulations, including HIPAA, CMS guidelines, and other state/federal healthcare laws
• Ability to collaborate effectively with cross-functional teams and senior leadership
• Ability to convey complex compliance and coding issues to both technical and non-technical stakeholders. This includes internal teams and external parties (i.e. payers)

Responsibilities

• Build and oversee medical coding compliance / standards
• Ensure adherence to healthcare regulations
• Lead initiatives to enhance accuracy and efficiency in coding and documentation practices
• Work cross-functionally and ensure regulatory compliance
• Guide the organization through complex healthcare compliance challenges

Preferred Qualifications

• Consulting experience that demonstrates your ability to advise organizations on compliance strategies, processes, and systems
• Experience in establishing or leading coding compliance functions, including the development and implementation of processes, policies, and audit strategies
• Experience using data analytics with proficiency in Google/Excel (required), SQL (nice to have), Looker (nice to have)
• Role will work with many technologies from AMD and other vendors and will need to understand at a high-level how data flows and what is possible
• Experience with behavioral health services / compliance

Benefits

• 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments
• Attractive pay and benefits : Full transparency of pay ranges regardless of where you live in the United States
• Comprehensive health benefits : Medical, dental, vision, life, disability, and FSA/HSA
• 401(k) plan access : Start saving for your future
• Generous time-off policies : Including 2 company-wide shutdown weeks each year for self-care (for most employees)
• Paid parental leave : Available for all parents, including birthing, non-birthing, adopting, and fostering
• Employee Assistance Program (EAP) : Support for your mental and physical health
• New hire home office stipend : Set up your workspace for success
• Quarterly department stipend : Fund team-building activities or in-person gatherings
• Wellness events and lunch & learns : Explore a variety of engaging topics
• Community and employee resource groups : Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
• Discounted programs : Fetch, SmartSpend, Ladder, SoFi