Lead, Coding Denials & Revenue Recovery

Healthrise; Farmington Hills (MI); On-site; USD 90,000 - 130,000; Full time

Job summary

Healthrise is seeking a Manager of Coding Denials to lead the day-to-day performance of a coding team with a focus on identifying, resolving, and preventing denials across DRG, CPT, HCPCS, and ICD-10 coding.

This role blends hands-on coding with staff leadership, coaching, and collaboration with CDI staff and vendor coders to reduce denial volume, recover revenue, monitor quality, and drive process improvements.

Qualifications

• Active coding credential (CCS, CPC, RHIA, RHIT, or equivalent).
• Minimum 5 years of coding experience with leadership responsibilities.
• Strong working knowledge of DRG, CPT, HCPCS, and ICD-10 coding methodologies.
• Proficiency in Epic or comparable EHR/coding platforms.
• Excellent written and verbal communication with coaching skills.
• Willingness to travel to client or organizational sites as needed.

Responsibilities

• Lead day-to-day workflow and assignment of coding queues to ensure productivity and targets.
• Conduct performance reviews and coaching; oversee onboarding and training.
• Review denials for accuracy and determine resolution (correction, appeal, or write-off).
• Monitor coding quality and SLA performance with third-party vendors.
• Maintain coding productivity/quality dashboards and drive process improvements.

Skills

Leadership

Coding expertise

DRG/CPT/HCPCS ICD-10 knowledge

Epic/EHR proficiency

Communication & coaching

Education

Bachelor's degree in Health Information Management

Tools

Epic

Job description

Healthrise is seeking a Manager of Coding Denials to lead the day-to-day performance of a coding team with a focus on identifying, resolving, and preventing denials across DRG, CPT, HCPCS, and ICD-10 coding.

This role blends hands-on coding with staff leadership, coaching, and collaboration with CDI staff and vendor coders to reduce denial volume, recover revenue, monitor quality, and drive process improvements.