Alteva RCM

Role Description The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity. Key Responsibilities - Team Leadership & Development - Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability. - Support recruiting, onboarding, training, and competency validation for new and existing team members. - Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards. - Address performance gaps through structured coaching and corrective action plans as needed. - Operational Oversight - Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards. - Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties. - Ensure appropriate work distribution based on complexity, volume, and team capacity. - Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements. - Compliance & Audit Oversight - Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions. - Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements. - Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure. - Maintain audit-ready processes and participate in compliance initiatives, education, and reporting. - Revenue Cycle & KPI Management - Monitor team KPIs, including coding quality scores, productivity, and turnaround times. - Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials. - Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements. - Cross-Functional Collaboration - Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation. - Serve as a resource for coding guidance, escalation support, and interpretation of coding rules. - Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution. - Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements. Qualifications - 5+ years of professional medical coding experience across one or more specialties. - 3-4+ years of people leadership experience preferred. - Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services. - Strong understanding of coding compliance principles and audit readiness expectations. - Demonstrated ability to manage workflows, track metrics, and drive continuous improvement. - Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms. Preferred Experience - Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix. - Experience managing coding operations in a multi-specialty or service-based environment. - Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk. Pay Range $85,000 — $110,000 USD Benefits - Comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability, and life insurance. - 401(k) plan with employer match. - Flexible spending accounts. - Employee discount program. - Employee referral program.

Role Description The AR Senior Associate – Enterprise Accounts is responsible for accounts receivable activities for high-volume, complex enterprise clients. This role requires working across multiple client and internal systems while coordinating closely with Account Management, Billing, and other teams to ensure timely follow-up, accurate resolution of outstanding accounts, and overall AR performance. The Senior Associate plays a key role in handling escalations, identifying trends, and maintaining operational efficiency across accounts. Key Responsibilities - Manage follow-up and resolution of outstanding accounts for enterprise-level clients - Perform AR activities across multiple client and internal systems, ensuring accuracy and consistency - Investigate and resolve complex denials, underpayments, and account discrepancies - Coordinate with Billing, Account Management, and other teams to address issues impacting reimbursement - Monitor and manage workqueues to ensure timely and accurate account follow-up - Identify trends in denials, payer behavior, and workflow inefficiencies - Support reconciliation efforts across systems, including payments and account balances - Assist with client-related requests and provide updates on account status as needed - Ensure adherence to SLAs, client requirements, and internal performance standards - Provide guidance and support to AR Associates working on enterprise accounts Qualifications - 3+ years of accounts receivable or revenue cycle experience required - Strong understanding of AR workflows, denial management, and payer follow-up - Experience working with complex or high-volume accounts - Ability to navigate multiple systems and reconcile data across platforms - Strong analytical, problem-solving, and organizational skills - Effective communication and collaboration skills Preferred Experience - Experience supporting enterprise or multi-location healthcare clients - Familiarity with multiple billing systems and/or EHR platforms (e.g., Epic) - Experience working in cross-functional, highly coordinated environments - Prior mentoring or training experience Pay Range $70,000 — $85,000 USD Benefits - Comprehensive benefits package, including health, dental, vision - Employee assistance plan - Paid family leave - Short-term disability and life insurance - 401(k) plan with employer match - Flexible spending accounts - Employee discount program - Employee referral program