Accelerate Cashflow & Collections with Plutus Health's 3 Ts of RCM - Turnaround Time, Transparency & Technology
Client Operations Manager
Location
United States
Posted
1 day ago
Salary
0
Seniority
Senior
Job Description
Client Operations Manager
Plutus Health Inc.
• Serve as the primary point of contact for assigned hospital clients • Build and maintain strong, long-term client relationships • Conduct regular client meetings to review performance metrics, address concerns, and identify opportunities for improvement • Respond promptly to client inquiries and resolve issues in a professional and timely manner • Manage the daily activities of Koders on their assigned teams • Ensure productivity and quality standards are maintained • Monitor coding productivity, accuracy, turnaround times, and service-level agreements (SLAs) • Coordinate with coding managers and quality assurance teams to ensure client expectations are consistently met • Analyze operational reports and communicate trends, risks, and opportunities to internal leadership and clients • Support staffing forecasts and workload balancing to maintain service commitments • Maintain working knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology • Understand specialty-specific coding requirements and payer guidelines • Assist clients with coding-related questions and documentation improvement opportunities • Support denial management and coding-related appeals when necessary • Stay current on CMS regulations, coding updates, and compliance requirements • Ensure coding activities comply with HIPAA, CMS regulations, payer requirements, and company policies • Review quality metrics and coordinate corrective action plans when performance issues arise • Prepare and present monthly performance reports to clients and leadership • Track KPIs including coding accuracy, productivity, denial rates, turnaround times, and customer satisfaction • Identify opportunities to improve processes and enhance operational efficiency
Job Requirements
- Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, or related field preferred
- 4+ years of medical coding experience
- 1+ years of client management, account management, operations, or healthcare services experience required
- Must have experience with outsourced coding client management
- Experience working with physician, hospital, and/or outpatient coding environments
- Familiarity with revenue cycle management processes and denial management
- One or more of the following certifications required: CPC® (Certified Professional Coder) CCS® (Certified Coding Specialist) RHIT® (Registered Health Information Technician) RHIA® (Registered Health Information Administrator)
- Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems
- Knowledge of CMS regulations, payer policies, and HIPAA requirements
- Excellent client relationship and communication skills
- Strong analytical and problem-solving abilities
- Proficiency with EHR systems, coding software, and Microsoft Office applications
- Ability to manage multiple priorities and work in a fast-paced environment
- Strong presentation and reporting skills
Benefits
- Ability to work remotely or in an office environment
- Prolonged periods sitting and working on a computer
- Occasional travel to client sites or company meetings may be required
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