Client Success Manager (Medical Coding)

Plutus Health Inc; Dallas, Northern (TX, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Plutus Health Inc. is seeking a Client Success Manager (Medical Coding) to oversee client relationships, coding operations, and revenue cycle optimization. You will ensure CPT/ICD-10/HCPCS adherence and payer policy compliance across multiple specialties.

The ideal candidate has 7+ years in medical coding leadership, with strong client management and regulatory knowledge. Travel as needed and collaboration with cross-functional teams are expected.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field.
• 7+ years in medical coding, auditing, and revenue cycle management with leadership.
• Certification CPC/CCS or equivalent preferred.

Responsibilities

• Oversee client relationships, coding operations, and revenue cycle optimization.
• Ensure CPT/ICD-10/HCPCS adherence and payer policy compliance.
• Lead and mentor onshore and offshore coding teams.
• Coordinate with billing, AR, and denial teams to reduce denials.

Skills

Client relationship mgmt

Leadership

Analytics

Negotiation

Regulatory knowledge

Education

Bachelor’s degree in Healthcare Administration/Business

Master’s degree (preferred)

Tools

Epic

Meditech

Paragon

Job description

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.

Life at Plutus Health

Plutus Health offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the opportunity to work on cutting-edge projects, leveraging the latest technologies and methodologies to deliver intelligent solutions that make a tangible difference for our clients.

Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals.

Job Title: Client Success Manager (Medical Coding)

Experience:7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role

Qualification: Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred).

Terms: Full-time

Job Summary

We are seeking an experienced Client Success 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.
• 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.

Qualifications & Experience

• 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.

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.