Client Success- Coding Manager

Calpion/Plutus Health; Dallas (TX); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Professional development opportunities

Collaborative team environment

Job summary

Calpion/Plutus Health in Dallas is seeking an experienced Client Success- Coding Manager to oversee client relationships and coding operations. This role demands expertise in medical coding, auditing, and revenue cycle management.

The ideal candidate will possess a strong understanding of coding regulations and payer policies, ensuring clients receive top-notch services and compliance support. Join a vibrant team at a fast-growing company that values innovation and professional development.

Qualifications

• 7+ years of experience in medical coding and revenue cycle management.
• Bachelor’s degree required; Master’s preferred.
• CPC, CCS, or equivalent certification required.

Responsibilities

• Serve as primary client contact, resolving coding-related concerns.
• Conduct coding audits and compliance reviews.
• Optimize coding workflows and monitor denial trends.

Skills

Medical coding expertise

Client relationship management

Regulatory compliance knowledge

Analytical skills

Problem-solving skills

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

RCM platforms

EHR/EMR systems (Epic, Meditech, Paragon)

Job description

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

• Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s 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 (30-50%).

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.