Coding Manager

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🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 13%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HURC Healthcare Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

🎯 Recruiter

Healthcare • Healthcare Insurance • Recruitment

HURC Healthcare Solutions is a B2B healthcare services firm that partners with hospitals and provider organizations to manage utilization review, clinical revenue cycle operations, and population health outreach. The company provides centralized Utilization Review (CŪR), revenue cycle management that combines domestic oversight with offshore resources, and staff augmentation and automation services to maximize net patient revenue and reduce operational burdens. HURC emphasizes people-powered, customizable services that integrate with clients' existing systems and bridge the payer-provider gap so clinicians can focus on patient care.

📋 Description

• Supervise day-to-day coding operations for professional fee claims across multiple clinical specialties. • Monitor workflow and ensure compliance with standard operating procedures. • Provide hands-on support for complex coding reviews and escalated coding issues. • Monitor program performance and develop corrective action and improvement plans. • Identify opportunities to improve coding accuracy, reimbursement, productivity, quality, and financial performance. • Provide subject matter expertise in professional fee coding and billing. • Evaluate coding and billing workflows and identify operational gaps. • Review coding accuracy, productivity, quality, reimbursement, and compliance trends. • Evaluate documentation, coding, billing, reimbursement, and denials relationships. • Identify opportunities to reduce coding-related denials and prevent revenue leakage. • Evaluate charge capture, claim submission, edits, billing workflows, and payer requirements. • Partner with CDI, coding, utilization review, denials, and revenue cycle teams. • Serve as a client-facing leader for professional fee coding operations. • Lead coder and client meetings. • Develop recommendations based on client data, workflows, financial performance, and operational findings. • Establish relationships with coding leaders, providers, and stakeholders. • Manage client escalations and ensure timely resolution. • Identify opportunities to expand existing client relationships through additional solutions. • Support initiatives to improve clean claim rates, reduce denials, accelerate reimbursement, and improve net revenue. • Partner with clients to establish benchmarks and improvement targets. • Develop and interpret dashboards and performance reports. • Establish program baselines and measurable improvement targets. • Analyze productivity, quality, denial, reimbursement, and financial metrics. • Partner with analytics resources to develop client reporting. • Participate in implementation of new coding, billing, and revenue cycle programs. • Ensure coding and billing programs comply with federal and state regulations, payer requirements, and client policies. • Monitor coding quality and compliance. • Support internal and external audits. • Identify compliance risks and recommend corrective action. • Maintain appropriate documentation and audit trails. • Establish performance expectations and accountability. • Promote quality, accountability, continuous improvement, and client service.

🎯 Requirements

• Bachelor’s degree in health information management, Healthcare Administration, Business, Finance, or related field; equivalent experience may be considered. • 7+ years of progressive experience in professional fee coding, billing, HIM, revenue cycle, or healthcare financial operations. • Must be credentialed coder with a minimum of one of these certifications: RHIA, RHIT, CPC, CCS, or CCS-P. • 2+ years of leadership or supervisory experience. • Strong understanding of professional fee billing and revenue cycle operations. • Experience working with healthcare clients, hospitals, health systems, or physician organizations. • Strong understanding of payer requirements and reimbursement methodologies. • Excellent written, verbal, presentation, and communication skills. • Experience with Epic or other major EHR platforms. • Experience with encoder, CAC, CDI, billing, or revenue cycle technology. • Experience with hospital denials and appeals. • Experience with revenue integrity. • Experience working with outsourced coding or revenue cycle organizations. • Experience managing multi-client or national healthcare programs. • Travel as needed.

🏖️ Benefits

• Remote work arrangement • Full-time employment

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