Reimbursement Manager

Aura Health; Bedford (NH); On-site; USD 65,000 - 85,000; Full time

Job summary

Aura Health is seeking a Clinical Reimbursement Coordinator to manage accurate and compliant reimbursement processes within the Healthcare & Medical Services team. You will review clinical documentation, validate coding, and ensure payer requirements are met.

Collaborating with interdisciplinary teams, you will optimize reimbursement and support high-quality patient care while monitoring regulatory changes and assisting with appeals as needed.

Qualifications

• Experience reviewing clinical documentation and validating coding per payer requirements.
• Ability to analyze data, identify trends, and communicate findings clearly.
• Experience adapting to regulatory and payer updates and implementing changes.
• Commitment to compliance, accuracy, and high-quality patient outcomes.

Responsibilities

• Manage accurate and compliant reimbursement processes within the Healthcare & Medical Services team.
• Review clinical documentation, validate coding, and ensure payer requirements are met.
• Collaborate with interdisciplinary teams to optimize reimbursement and support high-quality patient care.
• Monitor regulatory and payer changes, analyze denials, and assist with appeals.
• Educate staff on documentation standards and compliance protocols.

Skills

Clinical documentation

Coding & payer knowledge

Analytical skills

Communication & collaboration

Regulatory adaptability

Compliance & accuracy

Job description

Role: Clinical Reimbursement Coordinator

Responsibilities:

• Manage accurate and compliant reimbursement processes within the Healthcare & Medical Services team.
• Review clinical documentation, validate coding, and ensure payer requirements are met.
• Collaborate with interdisciplinary teams to optimize reimbursement and support high-quality patient care.
• Monitor regulatory and payer changes, analyze denials, and assist with appeals.
• Educate staff on documentation standards and compliance protocols.

Qualifications & Skills:

• Strong understanding of clinical documentation, coding, and payer requirements.
• Excellent analytical, communication, and collaboration skills.
• Ability to adapt to regulatory and payer updates and implement necessary changes.
• Commitment to compliance, accuracy, and high-quality patient outcomes.