Client Operations Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main liaison for designated hospital clients

• Establish and nurture robust, long-lasting relationships with clients

• Hold regular meetings with clients to assess performance metrics, address issues, and uncover areas for enhancement

• Promptly respond to client queries and resolve concerns in a professional and timely manner

• Oversee the daily functions of Koders within their respective teams

• Ensure that productivity and quality standards are upheld

• Supervise coding productivity, accuracy, turnaround times, and service-level agreements (SLAs)

• Collaborate with coding managers and quality assurance teams to guarantee that client expectations are consistently met

• Evaluate operational reports and convey trends, risks, and opportunities to internal leadership and clients

• Assist with staffing forecasts and workload management to uphold service commitments

• Keep an updated knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology

• Comprehend specialty-specific coding requirements and payer guidelines

• Provide assistance to clients regarding coding-related queries and documentation improvement opportunities

• Aid in denial management and coding-related appeals when necessary

• Remain informed about CMS regulations, coding updates, and compliance requirements

• Ensure that coding activities adhere to HIPAA, CMS regulations, payer requirements, and company policies

• Review quality metrics and coordinate corrective action plans when performance issues occur

• Prepare and present monthly performance reports to clients and leadership

• Monitor KPIs such as coding accuracy, productivity, denial rates, turnaround times, and customer satisfaction

• Identify opportunities for process enhancement and improve operational efficiency

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, or a related field preferred

• Over 4 years of experience in medical coding

• At least 1 year of experience in client management, account management, operations, or healthcare services is required

• Experience with outsourced coding client management is essential

• Familiarity with coding environments in physician, hospital, and/or outpatient settings

• Knowledge of revenue cycle management processes and denial management

• One or more of the following certifications is required: CPC® (Certified Professional Coder), CCS® (Certified Coding Specialist), RHIT® (Registered Health Information Technician), RHIA® (Registered Health Information Administrator)

• Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems

• Knowledge of CMS regulations, payer policies, and HIPAA requirements

• Excellent skills in client relations and communication

• Strong analytical and problem-solving capabilities

• Proficient in EHR systems, coding software, and Microsoft Office applications

• Ability to juggle multiple priorities and thrive in a fast-paced environment

• Strong skills in presentation and reporting

🏝️ Benefits

• Flexibility to work remotely or in an office setting

• Extended periods of sitting and working on a computer

• Potential for occasional travel to client locations or company meetings