Client Operations Manager

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Plutus Health Inc.

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2008

🏥 Santé

⚕️ Assurance santé

💳 Fintech

Healthcare • Healthcare Insurance • Fintech

Plutus Health Inc. est un fournisseur leader de solutions de gestion du cycle des recettes (RCM), spécialisé dans la facturation médicale complète, le codage et la gestion des rejets, adaptés pour les prestataires de soins de santé à travers les États-Unis. Avec plus de 15 ans d'expérience, l'entreprise s'appuie sur des technologies avancées, y compris l'automatisation des processus par la robotique (RPA) et l'intelligence artificielle (IA), pour rationaliser les processus de facturation, améliorer les pourcentages de demandes acceptées, réduire les taux de rejet et améliorer la performance financière globale de ses clients dans diverses spécialités médicales. Plutus Health s'engage à fournir des services de haute qualité, conformes à la norme HIPAA, permettant aux organisations de santé d'optimiser la gestion de leur cycle des revenus et de fournir de meilleurs soins aux patients.

Description

• Serve as the primary point of contact for assigned hospital clients • Build and maintain strong, long-term client relationships • Conduct regular client meetings to review performance metrics, address concerns, and identify opportunities for improvement • Respond promptly to client inquiries and resolve issues in a professional and timely manner • Manage the daily activities of Koders on their assigned teams • Ensure productivity and quality standards are maintained • Monitor coding productivity, accuracy, turnaround times, and service-level agreements (SLAs) • Coordinate with coding managers and quality assurance teams to ensure client expectations are consistently met • Analyze operational reports and communicate trends, risks, and opportunities to internal leadership and clients • Support staffing forecasts and workload balancing to maintain service commitments • Maintain working knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology • Understand specialty-specific coding requirements and payer guidelines • Assist clients with coding-related questions and documentation improvement opportunities • Support denial management and coding-related appeals when necessary • Stay current on CMS regulations, coding updates, and compliance requirements • Ensure coding activities comply with HIPAA, CMS regulations, payer requirements, and company policies • Review quality metrics and coordinate corrective action plans when performance issues arise • Prepare and present monthly performance reports to clients and leadership • Track KPIs including coding accuracy, productivity, denial rates, turnaround times, and customer satisfaction • Identify opportunities to improve processes and enhance operational efficiency

🎯 Exigences

• Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, or related field preferred • 4+ years of medical coding experience • 1+ years of client management, account management, operations, or healthcare services experience required • Must have experience with outsourced coding client management • Experience working with physician, hospital, and/or outpatient coding environments • Familiarity with revenue cycle management processes and denial management • One or more of the following certifications 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 client relationship and communication skills • Strong analytical and problem-solving abilities • Proficiency with EHR systems, coding software, and Microsoft Office applications • Ability to manage multiple priorities and work in a fast-paced environment • Strong presentation and reporting skills

🏖️ Avantages

• Ability to work remotely or in an office environment • Prolonged periods sitting and working on a computer • Occasional travel to client sites or company meetings may be required