Manager, Coding & Billing Integrity
Position Type: Full-time, Exempt
Compensation: DOE
Job Location: Remote (US)
Company Overview
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation.
As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team
Theoria Medical is seeking a seasoned billing and coding expert with a proven track record to join our dynamic organization. The Manager of Coding, Billing, and Documentation Integrity is a hands-on leader responsible for driving accurate coding, compliant billing, and strong clinical documentation practices across our primary care operations. This role is focused on professional fee services, with an emphasis on E/M coding, chronic condition documentation, risk adjustment (HCC/RAF) capture, and denial prevention. The Manager works closely with providers to ensure clean claims, optimal reimbursement, and strong audit readiness.
This is an execution-heavy role ideal for someone who thrives in the weeds reviewing charts, leading provider education, running internal audits, and owning coding/billing workflows that directly impact revenue.
Shift Structure
Essential Functions & Responsibilities
Requirements and Qualifications
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Compensation and Benefits
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.
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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.