Client Operations Manager

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Plutus Health Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

Plutus Health Inc. is a leading provider of revenue cycle management (RCM) solutions, specializing in comprehensive medical billing, coding, and denial management services tailored for healthcare providers across the United States. With over 15 years of experience, the company leverages advanced technologies, including robotic process automation (RPA) and artificial intelligence (AI), to streamline the billing processes, improve clean claim percentages, reduce denial rates, and enhance overall financial performance for its clients in various medical specialties. Plutus Health is committed to delivering high-quality, HIPAA-compliant services that allow healthcare organizations to optimize their revenue cycle management and provide better patient care.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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