Manager, Denials Management

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

📋 Description

• Act as the main contact for denial-related tasks for designated clients.

• Engage proactively in implementation initiatives.

• Oversee the denial delivery process along with the denial team for clients.

• Manage client service-level agreement metrics and expectations for denial delivery turnaround.

• Facilitate monthly client meetings via phone or in-person.

• Maintain regular communication with CorroHealth team members to align with client and corporate goals.

• Track client satisfaction, progress, and success using various metrics.

• Identify and resolve client issues or challenges promptly.

• Provide regular client status updates to CorroHealth leadership.

• Meet with clients monthly to discuss reporting packages and operational concerns.

• Create and present executive-level reporting packages on a quarterly basis.

• Supervise 3+ direct reports, including performance evaluations, employee development, and disciplinary actions.

• Address coding and charge-capture issues with client contacts.

• Collaborate with Quality Assurance teams on coding quality-related matters.

• Enhance existing products and services while developing new offerings.

• Assist direct reports with the application of diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.

• Provide assistance or interpretation of coding guidelines.

• Ensure direct reports comprehend documentation requirements and the implications for reimbursement.

• Advocate for adherence to AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct.

• Ensure compliance with internal policies, procedures, and privacy and security regulations.

• Complete company training and ensure mandatory training is completed by direct reports.

• Assess risk, engage in risk mitigation activities, and rectify deficiencies.

⛳️ Requirements

• Bachelor’s degree or equivalent experience is preferred.

• National coding certification from AAPC or AHIMA.

• A minimum of 3 years of prior coding experience, encompassing facility level of service and Professional E/M coding.

• Preferred experience with facility trauma and observation charge capture.

• At least 2 years of previous management experience in a healthcare environment.

• Strong written and verbal communication abilities.

• Capacity to prioritize tasks, meet deadlines, and uphold quality and accuracy.

• Proficient in Microsoft Office applications, including PowerPoint, Word, and Excel.

• Ability to navigate various EMR systems and review handwritten medical charts.

• Capability to manage multiple complex projects simultaneously.

• Ability to collaborate with individuals with varying skill sets in a team-oriented environment.

• Excellent problem-solving skills.

• Estimated travel requirement of 25%-30%.

• Must reside within 90 miles of a major airport.

• Ability to work at a computer terminal for 6-8 hours each day.

• Ability to lift and occasionally move materials weighing up to 20 lbs.

🏝️ Benefits

• Opportunities for professional development and personal growth.

• Company-sponsored training and education.

• Full-time employment.