Jobs · Healthcare

Manager PB Coding Denials Integrity - Medical Specialties

Jobgether · United States · 1 mo ago
RemoteRemoteHealthcare$51.05–$76.6/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Benefits, Pay, Schedule maybe. Must not repeat job title. Must not include metadata like Job ID. Remove boilerplate: "This position is listed on behalf of a partner company..." etc. Also remove "How Jobgether Works", "Why Apply Through Jobgether?" etc. Keep substantive info. We need to parse the posting. First paragraph: "This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Manager PB Coding Denials Integrity - Medical Specialties based in United States. This is a full-time leadership role focused on professional billing coding denials, revenue cycle integrity, and operational performance across multiple medical specialties. You’ll oversee daily operations while improving processes, standardizing workflows, and strengthening financial and operational outcomes. The role supports a broad range of specialties, including laboratory, pathology, behavioral health, pediatrics, dermatology, gastroenterology, endocrinology, nephrology, rheumatology, pulmonology, OB/GYN, and urology. You’ll use data, healthcare technology, and performance indicators to identify trends, address operational gaps, and drive measurable improvements. The position combines team leadership with cross-functional collaboration across clinical, IT, compliance, finance, and revenue cycle teams. You’ll also help ensure coding and revenue cycle practices remain aligned with regulatory requirements, reimbursement rules, and organizational standards. This opportunity is well suited to an experienced healthcare revenue cycle leader who enjoys developing teams and improving complex, highly regulated operations." That's about the role. Then "Accountabilities" list: many bullet-like sentences. Those are responsibilities. Then "Requirements" list. Then "Benefits" list. Also "Full-time position with a 40-hour workweek. Monday–Friday, first-shift schedule. Remote opportunity available for eligible candidates residing in approved U.S. states, including ... Compensation range of $51.05–$76.60 per hour, with actual compensation based on qualifications, skills, relevant experience, and training. Potential premium pay, such as shift or on-call pay, depending on position requirements. Incentive pay for select positions and potential annual performance-based increases." That includes schedule and pay. We need sections: About the role (maybe "About the role") containing the descriptive paragraph. Responsibilities: list of accountabilities. Requirements: list. Benefits: list. Pay: maybe a section "Pay" with compensation range. Schedule: maybe a section "Schedule" with workweek and remote info. But we must only include sections if posting has real specific content. It does have pay and schedule specifics. We must not include filler like "commensurate with experience". Not present. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits, and

    for prose. We must not repeat job title as heading. So no heading with the title. We must not put Job ID/requisition numbers as headings. We must output only HTML fragment. Let's craft. First, About the role: a paragraph summarizing. We'll include the specialties list maybe as part of paragraph. Responsibilities: list each accountability as

  • . Requirements: list each requirement as
  • . Benefits: list each benefit as
  • . Pay: maybe a paragraph with compensation range. Schedule: paragraph with workweek and remote. We need to ensure we don't duplicate content. Let's extract responsibilities from "Accountabilities" block: - Lead and manage daily operations within the assigned professional billing coding denials and integrity function, ensuring activities align with broader organizational and revenue cycle objectives. - Evaluate workflows and operational processes to improve efficiency, productivity, consistency, and adoption of standardized best practices across the mid-revenue cycle. - Monitor compliance with regulatory requirements, accreditation standards, coding guidelines, and organizational policies while protecting the confidentiality of patient information and escalating potential compliance concerns appropriately. - Establish and monitor key performance indicators (KPIs), analyze operational trends, and use data-driven insights to identify opportunities for improvement. - Leverage healthcare technology, electronic health record systems, analytics tools, and revenue cycle solutions to improve decision-making and operational performance. - Partner with clinical, IT, Compliance, Finance, and Revenue Cycle leaders to align processes, resolve issues, support regulatory compliance, and advance patient safety and financial integrity. - Build and maintain effective relationships with key stakeholders across a matrixed organization, facilitating communication, problem-solving, and operational alignment. - Lead and develop a team of professionals, including hiring, performance management, coaching, training, professional development, and career growth activities. - Foster a culture of accountability, continuous improvement, collaboration, and financial responsibility across the team. - Lead strategic operational initiatives, manage project timelines, and oversee system or workflow enhancements designed to improve effectiveness and scalability. - Support the medical specialties portfolio across areas including laboratory, pathology, behavioral health, pediatrics, allergy and immunology, dermatology, gastroenterology, hepatology, infectious disease, endocrinology, nephrology, rheumatology, pulmonology, sleep medicine, maternal-fetal medicine, OB/GYN, reproductive endocrinology, and urogynecology. That's many. Requirements list: - Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field, or equivalent professional experience. - At least 8 years of experience in mid-revenue cycle operations, coding, Health Information Management (HIM), healthcare technology, or a related area, including 2+ years of leadership experience within a large integrated healthcare system. - Current relevant industry certification from an approved accrediting body is required. Coding certification through AAPC or AHIMA is required, with dual certification preferred. - Strong knowledge of professional and facility coding, HIM operational guidelines, revenue cycle workflows, third-party reimbursement programs, and applicable state and federal regulations. - Working knowledge of national and local coverage decisions and coding classification systems, including ICD-10, CPT, and HCPCS. - Strong analytical skills, with the ability to compile and interpret data from multiple sources, identify trends, recognize operational patterns, and translate findings into improvement opportunities. - Strong understanding of EHR systems and revenue cycle technology, together with proficiency in Microsoft 365 applications including Teams, SharePoint, Word, Excel, PowerPoint, and Access. - Demonstrated experience optimizing workflows, standardizing processes, managing resources, and improving operational effectiveness within complex healthcare environments. - Proven ability to lead, coach, and develop teams while establishing clear expectations and fostering accountability and continuous improvement. - Strong interpersonal and communication skills, with the ability to collaborate effectively with clinicians, finance professionals, IT teams, compliance stakeholders, and revenue cycle leaders. - Strong problem-solving and critical-thinking abilities, with excellent attention to detail and the ability to manage competing priorities and deadlines. - Ability to work effectively within a matrixed organization and build consensus across multiple departments. - Willingness to travel when required by the role and to operate effectively in a standard office environment, including occasional lifting of up to 40 pounds. Benefits list: - Full-time position with a 40-hour workweek. - Monday–Friday, first-shift schedule. - Remote opportunity available for eligible candidates residing in approved U.S. states, including AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, and WY. - Compensation range of $51.05–$76.60 per hour, with actual compensation based on qualifications, skills, relevant experience, and training. - Potential premium pay, such as shift or on-call pay, depending on position requirements. - Incentive pay for select positions and potential annual performance-based increases. - Paid time off programs. - Medical, dental, and vision coverage. - Life insurance and short- and long-term disability benefits. - Flexible Spending Accounts for eligible healthcare and dependent-care expenses. - Adoption assistance and paid parental leave. - Defined contribution retirement plans with employer matching and additional financial wellness programs. - Educational assistance programs. - Opportunities for professional development, career growth, and leadership development. - Benefits eligibility may vary according to employment status. But note: Some of these are schedule/pay. We might separate Pay and Schedule sections. We need to avoid duplication: The benefits list includes schedule and pay items; but we can still include them in Benefits section, but the instruction says: "Prefer a few substantive sections over many thin ones." Could combine Pay and Schedule into Benefits? But they said include a section ONLY when posting has real specific content for it — never emit a heading followed by filler/placeholder text. They didn't forbid having Pay and Schedule separate if content exists. However they said "Prefer a few substantive sections over many thin ones." So maybe better to have Benefits section that includes all benefits including pay and schedule. But they also said "Use
    • for any list of duties/requirements/benefits, and

      for prose." So if we put pay and schedule as list items under Benefits, that's fine. But we also need to avoid repeating the same info. The benefits list includes "Full-time position with a 40-hour workweek." and "Monday–Friday, first-shift schedule." and "Remote opportunity available..." and "Compensation range..." etc. Those are benefits. Thus we can have Benefits section with a

        containing all those items. We also need About the role (prose) and Responsibilities (list) and Requirements (list). That's three sections. We must not include sections like "About the role" if no content; we have content. We must not include headings for Pay or Schedule separately if we incorporate them into Benefits. Thus final HTML:

        About the role

        ... paragraph ...

        Responsibilities

        • ...
        • ...

        Requirements

        • ...
        • ...

        Benefits

        • ...
        • ...
        Make sure to preserve all substantive information. Ensure we don't lose any details like specialties list etc. Let's craft the About the role paragraph: combine the initial description. Paragraph: "This is a full-time leadership role focused on professional billing coding denials, revenue cycle integrity, and operational performance across multiple medical specialties. You’ll oversee daily operations while improving processes, standardizing workflows, and strengthening financial and operational outcomes. The role supports a broad range of specialties, including laboratory, pathology, behavioral health, pediatrics, dermatology, gastroenterology, endocrinology, nephrology, rheumatology, pulmonology, OB/GYN, and urology. You’ll use data, healthcare technology, and performance indicators to identify trends, address operational gaps, and drive measurable improvements. The position combines team leadership with cross-functional collaboration across clinical, IT, compliance, finance, and revenue cycle teams. You’ll also help ensure coding and revenue cycle practices remain aligned with regulatory requirements, reimbursement rules, and organizational standards. This opportunity is well suited to an experienced healthcare revenue cycle leader who enjoys developing teams and improving complex, highly regulated operations." We could also mention that it's based in United States and full-time leadership role. Already covered. Now Responsibilities list: include all accountabilities. Requirements list: include all. Benefits list: include all items from Benefits block. Check that we didn't miss any: The benefits block also includes "Full-time position with a 40-hour workweek." "Monday–Friday, first-shift schedule." "Remote opportunity available for eligible candidates residing in approved U.S. states, including ..." "Compensation range of $51.05–$76.60 per hour, with actual compensation based on qualifications, skills, relevant experience, and training." "Potential premium pay, such as shift or on-call pay, depending on position requirements." "Incentive pay for select positions and potential annual performance-based increases."

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