Talent.com
Client Success/ Coding Manager
Client Success/ Coding ManagerCalpion/Plutus Health • Addison, TX, US
Client Success / Coding Manager

Client Success / Coding Manager

Calpion / Plutus Health • Addison, TX, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Salary :

About Plutus Health Inc. :

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.

Job Description :

We are seeking an experienced Client Success / Coding Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.

The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.

Key Responsibilities :

Client Success & Relationship Management :

  • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
  • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
  • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
  • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.

Medical Coding & Compliance Oversight :

  • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
  • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
  • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
  • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
  • Provide training and education to clients and internal teams on evolving coding guidelines and best practices.

    • Revenue Cycle & Denial Management :

  • Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
  • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
  • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
  • Drive coding automation initiatives to improve operational efficiency and minimize manual errors.

    • Cross-Functional Collaboration & Leadership :

  • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
  • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
  • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
  • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.

    • Required Qualifications :

  • Bachelors degree in Healthcare Administration, Business, or a related field (Masters preferred).
  • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
  • Certification required : CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
  • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
  • Experience in coding audits, denial resolution, and revenue integrity initiatives.
  • Proficiency in RCM platforms, EHR / EMR systems (Epic, Meditech, Paragon, etc.).
  • Experience managing onshore / offshore coding teams and handling multi-client engagements.
  • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
  • Willingness to travel as needed.

    • Why Join Plutus Health Inc.?

  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.
    • [job_alerts.create_a_job]

    Coding Manager • Addison, TX, US

    [internal_linking.similar_jobs]
    Client Success Manager

    Client Success Manager

    TradeJobsWorkForce • 75252 Dallas, TX, US
    [job_card.full_time]
    Client Success Manager Job Duties : Train CS team in the coaching / management process for clients in regards to ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Oracle CX Cloud Implementation Consultant - Manager

    Oracle CX Cloud Implementation Consultant - Manager

    PwC • Dallas, TX, United States
    [job_card.full_time]
    At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency.These individuals ana...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Client Engineer II (MedInsight)

    Client Engineer II (MedInsight)

    Milliman • Dallas, TX, United States
    [job_card.full_time]
    Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry's most trusted solutions for healthcare intelligence. Our company's purpose is to em...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Cloud Infrastructure Engineer - AWS & ML Tooling

    Cloud Infrastructure Engineer - AWS & ML Tooling

    Zelis Healthcare, LLC • Plano, TX, United States
    [job_card.full_time]
    Zelis is modernizing the healthcare financial experience for all by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers.This...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Client Manager

    Client Manager

    EPIC Brokers • Dallas, TX, US
    [job_card.full_time]
    There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Oracle Subscriptions Cloud Lead Functional Consultant

    Oracle Subscriptions Cloud Lead Functional Consultant

    Infovity, Inc. • Dallas, TX, United States
    [job_card.full_time]
    A leading technology consultancy in Dallas, Texas, is seeking an experienced Oracle Subscriptions & Revenue Management Cloud Lead Functional Consultant. The ideal candidate will have extensive exper...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Analyst, Healthcare Coding - Disputes, Claims & Investigations

    Analyst, Healthcare Coding - Disputes, Claims & Investigations

    Stout • Dallas, TX, United States
    [job_card.full_time]
    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Coding Specialist III

    Coding Specialist III

    Parkland • Dallas, TX, US
    [job_card.full_time]
    The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient (IP) encounters. This position requires the code...[show_more]
    [last_updated.last_updated_less] • [promoted] • [new]
    Travel CT Tech - $2,246 per week in McKinney, TX

    Travel CT Tech - $2,246 per week in McKinney, TX

    AlliedTravelCareers • McKinney, TX, US
    [job_card.full_time]
    AlliedTravelCareers is working with FlexCare to find a qualified CT Tech in McKinney, Texas, 75069!.Contract extension opportunities. First time travelers are WELCOME!.Certs & Licenses BLS, ARRT...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Itemized Bill and Clinical Chart Dispute Reviewer

    Itemized Bill and Clinical Chart Dispute Reviewer

    Zelis • Plano, TX, United States
    [job_card.full_time]
    So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Coding Supervisor- Remote

    Coding Supervisor- Remote

    Vee Healthtek, Inc. • Plano, TX, US
    [filters.remote]
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Coding Supervisor Department : Operations / Revenue Cycle Reports To : Sr.Manager, Coding Services Employment Type : .Full-Time Location : Remote Company Description Vee Healthtek, Inc.We offer a compre...[show_more]
    [last_updated.last_updated_variable_days]
    Senior Project Manager - Data Center

    Senior Project Manager - Data Center

    Gilbane Building Company • Dallas, TX, United States
    [job_card.full_time]
    Senior Project Manager - Data Center.US-OH-Columbus | US-IN-Indianapolis | US-NC-Charlotte | US-TX-Dallas | US-VA-Richmond | US-VA-Arlington | US-MD-Baltimore. Do you consider yourself to be a highl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Service Delivery Technical Project Manager

    Service Delivery Technical Project Manager

    DataBank Holdings, Ltd. • Dallas, TX, United States
    [job_card.full_time]
    DataBank's managed data center services are anchored in world-class facilities.Our customized technology solutions are designed to help customers effectively manage risk, improve technology perform...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Scale Customer Success Manager (North American and Brazilian Markets)

    Scale Customer Success Manager (North American and Brazilian Markets)

    Semrush Inc • Dallas, TX, United States
    [job_card.full_time]
    We are Semrush, a global Tech company developing our own product - a platform for digital marketers.Are you ready to be a part of it? This is your chance! We're hiring for Scale Customer Success Ma...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Data Center Project Manager

    Data Center Project Manager

    TEKsystems • Addison, TX, United States
    [job_card.full_time]
    Client is looking for a data center project manager to help move the existing data center in Addison to a colocation in Addison. This will be a 2 phase approach.The first phase will be standing up t...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Solution Manager

    Solution Manager

    IntelliPro Group • Dallas, TX, US
    [job_card.full_time]
    We are seeking a Solution Manager to join our client's team.This role is critical in driving customer success by managing the onboarding and integration of new clients into their platform.The Solut...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Review Manager

    Senior Review Manager

    Epiq Systems, Inc. • Dallas, TX, United States
    [job_card.full_time]
    It's fun to work at a company where people truly believe in what they are doing! Job Description : Position Summary Epiq's Cyber Incident Response group is responsible for managing and overseeing...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Client Relations Manager - Fully Remote Position

    Client Relations Manager - Fully Remote Position

    Globe Life : American Income Division • Dallas, Texas, United States
    [filters.remote]
    [job_card.full_time]
    The Manager-in-Training (MIT) position is crafted for ambitious individuals who are motivated to take on leadership roles within the organization. This role is a key part of our leadership developme...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]