Manager, Billing and Coding - Sleep Medicine - Ohio Sleep Medicine Institute

Vituity; Dublin (OH); On-site; USD 46,425,000 - 77,366,000; Full time

Benefits offered by this job

Health plan options

Dental, Vision, HSA/FSA

Top Tier 401(k) match

Paid time off and sabbatical

Job summary

Vituity, in Dublin, OH, is seeking a Manager of Billing and Coding to lead professional and facility billing for a sleep medicine practice. You will supervise staff, drive accuracy in coding and revenue cycle performance, and partner with leadership to align billing with organizational goals.

The role requires five+ years in medical billing with supervisory experience, CPC/CPB certification, and strong knowledge of ICD-10, CPT, and DRG coding. Sleep medicine billing experience is preferred.

Qualifications

• Minimum five years of medical billing or revenue cycle experience, including at least two years in a lead or supervisory role.
• Proficiency in ICD-10, CPT, DRG and billing software.
• Knowledge of revenue cycle management, payer requirements, and medical collection practices.
• High school diploma or equivalent.
• CPC or CPB certification, or an Associate's or Bachelor's degree in healthcare administration, business, or related field.
• Sleep medicine, pulmonary, or related specialty billing experience preferred.

Responsibilities

• Supervise, train, schedule, and develop billing staff with clear productivity and quality standards.
• Oversee day-to-day billing and revenue cycle operations for the sleep medicine practice.
• Establish, monitor, and report KPIs for billing, coding, collections, and AR.
• Escalate complex billing issues, payer disputes, and patient billing inquiries.
• Develop and maintain billing workflows, policies, and SOPs.

Skills

Leadership

Billing knowledge

Analytical

Communication

Education

CPC or CPB certification

Associate's or Bachelor's in healthcare admin or related

Tools

Billing software

Job description

Dublin, OH – Seeking Manager, Billing and Coding

Everybody Has A Role To Play In Transforming Healthcare

As Manager, Billing and Coding, you play a vital role in our mission to improve lives. Lead and oversee the professional and/or facility billing and revenue cycle operations for the sleep medicine practice. At Vituity we know the impact you can have.

Join the Vituity Team.

At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations:

Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Supervise, train, schedule, and develop billing team staff, establishing clear productivity and quality standards and providing ongoing coaching and feedback.
• Oversee the day-to-day billing and revenue cycle operations for the sleep medicine practice to ensure accurate and timely billing of professional and/or facility services.
• Establish, monitor, and report on key performance indicators (KPIs) for billing, coding, collections, and accounts receivable.
• Serve as the escalation point for complex billing issues, payer disputes, and patient billing inquiries.
• Develop, document, and maintain billing workflows, policies, and standard operating procedures to promote consistency and efficiency.
• Partner with the medical director, providers, and practice leadership to align billing operations with organizational goals.
• Review Accounts Receivable and Collection Write-Off Reports and approve appropriate action, including establishing payment plans or referring accounts to a collection agency.
• Oversee the review and analysis of medical records and documentation to ensure accurate coding and billing.
• Ensure appropriate assignment of ICD-10, CPT, and DRG codes for sleep studies (e.g., polysomnography, home sleep apnea testing, MSLT, MWT) and related services.
• Audit charges and coding for accuracy, completeness, and compliance, and provide education and feedback to staff and providers.
• Oversee verification of patient insurance coverage and completion of required prior authorizations for sleep medicine services.
• Ensure timely and accurate preparation and submission of claims to insurance companies for reimbursement.
• Perform and oversee pre-verifications with insurance companies to determine where to send the claim, via phone or by running online eligibility.
• Monitor payer policies, sleep medicine coverage criteria, and regulatory changes, and update billing processes accordingly.
• Oversee follow-up on unpaid or denied claims and the resolution of billing discrepancies to maximize reimbursement.
• Direct the application of medical collection practices and procedures in accordance with payer and regulatory requirements.
• Apply critical thinking to determine when a payer is in violation of contract terms or a legal obligation to pay, and pursue appropriate resolution.
• Ensure compliance with HIPAA, payer contracts, and organizational policies, and promptly report and address suspected compliance concerns.
• Maintain the confidentiality of patient information in accordance with HIPAA regulations and Privacy Policies regarding PHI.
• Prepare and present billing, collections, and revenue cycle performance reports to practice and medical leadership.
• Collaborate with practice staff and providers to ensure accurate and timely billing processes across the sleep medicine practice.
• Identify and implement opportunities for process improvement, automation, and staff development.

Required Experience and Competencies

• Minimum of five years of experience in medical billing or revenue cycle, including at least two years in a lead or supervisory role required.
• Proficiency in medical terminology and coding systems (ICD-10, CPT, DRG) and billing software required.
• Demonstrated knowledge of revenue cycle management, payer requirements, and medical collection practices and procedures required.
• High school diploma or equivalent required.
• Certified Professional Coder (CPC) or Certified Professional Biller (CPB) certification required, or an Associate's or Bachelor's degree in healthcare administration, business, or a related field.
• Experience with sleep medicine, pulmonary, or related specialty billing preferred.
• Prior experience overseeing revenue cycle operations in a multi-provider or multi-specialty outpatient practice preferred.
• Strong leadership, coaching, and team management skills.
• Ability to develop and deliver coding and billing education to providers and staff.
• Knowledge of medical collection practices and procedures.
• Strong attention to detail and accuracy in coding and billing processes.
• Excellent written and verbal communication skills to interact with patients, insurance companies, providers, and staff.
• Ability to analyze data, monitor performance, and drive process improvement.li>
• Ability to work independently, prioritize, and manage multiple priorities in a fast-paced environment while upholding HIPAA regulations.
• Ability to interpret payer contracts and identify compliance or reimbursement violations requiring escalation.

The Practice

Ohio Sleep Medicine Institute – Dublin, Ohio

• Vituity’s physician partnership culture inspires clinician retention and engagement, and supports autonomy to make local decisions.
• Equal distribution among all practicing physicians.
• No outside investors, external stakeholders, or long-term debt.

The Community

• Dublin, Ohio, is a charming city combining small-town appeal with modern amenities, making it an ideal place to work and call home.
• Located just outside Columbus, Dublin offers a vibrant community and a robust job market, particularly in healthcare and technology.
• The city is renowned for its scenic beauty, with landmarks like Indian Run Falls and the Dublin Link, a striking pedestrian bridge.
• Residents enjoy outdoor activities at Glacier Ridge Metro Park and events like the Dublin Irish Festival, one of the largest in the country.
• Dublin experiences four distinct seasons, with warm summers and snowy winters.
• Its proximity to Columbus provides access to cultural attractions, shopping, and sports events, including Ohio State University athletics.
• Known for its excellent schools, well-planned neighborhoods, and strong community spirit, Dublin offers a high quality of life for families and professionals alike.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Outstanding Paid Time Off: Start at 4 weeks’ PTO, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Commuter Benefits Program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

Salary range for this role is $27.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary.