Manager, Coding Denials
Healthrise is seeking a Manager of Coding Denials to lead the day-to-day performance of a coding team with a primary focus on identifying, resolving, and preventing coding-related denials across DRG, CPT, HCPCS, and ICD-10 coding. This role is ideal for an experienced coding professional ready to step into people leadership, combining hands-on coding and denials expertise with direct oversight of staff, workflow, and quality.
The Manager owns the coding denials function end to end, managing the intake, coding review, and resolution of coding-driven denials, and partnering with revenue cycle and appeals teams to reduce denial volume and recover revenue. The Manager also monitors broader productivity and quality metrics, coaches and develops coding staff, and serves as the first point of escalation for complex coding questions and documentation issues. This individual works closely with Clinical Documentation Integrity (CDI) staff and coordinates with third-party vendor coders assigned to the team to keep coding operations running smoothly and compliantly.
This role offers a clear path to grow into broader coding leadership, with direct exposure to department wide quality, compliance, and process improvement initiatives.