Manager, Coding and Revenue Integrity

🔥 0 minutes ago

🦌 Connecticut, New York, +2 more states – Remote

🦌 Connecticut – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote ⚓ Rhode Island – Remote

💵 $93.5k - $140.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Spire Orthopedic Partners

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

Spire Orthopedic Partners is a forward-looking capital and management partner for leading orthopedic and spine surgeons, operating as a management services organization (MSO) that provides administrative infrastructure and strategic support. The company partners with high-growth orthopedic practices across the Northeastern United States (Connecticut, New York, Massachusetts, Rhode Island), enabling around 165 physicians and 1,800 employees across 40 locations to grow, specialize, and focus on patient care while Spire handles operations, practice integration, and business development.

📋 Description

• Oversee processes ensuring accurate coding compliance, billing integrity, reimbursement, and revenue cycle performance • Onboard new and additional coders, including participating in interviews, training on systems, and monitoring proficiency and accuracy for 30 days • Monitor charge capture processes for accurate and timely billing • Analyze billing edits, denials, underpayments, and reimbursement trends • Ensure compliance with federal, state, and payer billing regulations • Develop and maintain standardized professional billing workflows, coding policies, and training • Monitor coding volume and coder workload to ensure adequate distribution and timely chart coding • Establish backup plans and cross-coverage for absences • Partner with Coding, Billing, Compliance, IT, and Clinical Operations • Provide annual coding updates for staff, providers, and leadership in collaboration with the Director of Billing and Coding • Coordinate audits and corrective actions related to billing practices • Conduct internal audits of documentation, coding, and billing accuracy • Monitor compliance with CMS, payer, and regulatory guidelines • Prepare reports and recommendations for leadership • Support external audits and payer reviews • Track revenue cycle metrics and KPIs • Present findings and strategic recommendations to senior leadership • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree preferred; equivalent experience may be considered • Active coding certification required (CPC, CCS, CCS-P, COC, or equivalent) • Minimum 5 years of progressive experience in professional billing, revenue integrity, coding, or revenue cycle operations • Minimum 3 years of leadership or supervisory experience • Advanced knowledge of professional billing workflows, charge capture processes, payer reimbursement methodologies, and denial management • Strong understanding of CPT, HCPCS, ICD-10-CM, and modifier application • Ability to analyze complex data sets and implement operational improvements • Strong written and verbal communication skills with ability to engage physicians, operational leaders, and executives

🏖️ Benefits

• Excellent growth and advancement opportunities • Dynamic environment • Access to a diverse network of practitioners • Broad infrastructure of tools and programs to enhance the employee experience • Competitive Compensation • Generous PTO • Health, dental, and vision benefits • 401(k)