Revenue Cycle Coding Manager (59784)

Job DetailsJob Location: Stith Center: 791 Chambers Road, Aurora, CO 80011 - Aurora, CO 80011Position Type: Full Time: FTE 1Education Level: Bachelor's DegreeSalary Range: $87,657.24 - $137,268.85 SalaryJob Category: Finance & Accounting
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The Revenue Cycle Coding Manager plays a critical role in protecting and maximizing organizational revenue through expert oversight of coding accuracy, documentation quality, compliance, and data‑driven insights. This highly visible role leads coding and auditing operations with a strong focus on behavioral health services and payers, ensuring adherence to federal and state regulations while identifying opportunities to improve charge capture and documentation practices. Operating with a high level of autonomy, the Manager mentors and develops coding teams, oversees daily operations, analyzes KPIs, and partners closely with leadership, compliance, and cross‑departmental teams to drive continuous improvement. The ideal candidate is an experienced, certified coding and compliance professional (CPC or equivalent) with deep expertise in behavioral health coding, auditing, and billing requirements, strong analytical and leadership skills, and a collaborative, solution‑oriented mindset. This hybrid role offers the opportunity to make a meaningful impact within a supportive, development‑focused team committed to excellence and partnership across the organization.

 

Schedule. This position follows a Monday–Friday, 8:00 AM–5:00 PM schedule, with flexibility during Revenue Cycle close and other critical deadlines. It is eligible for a hybrid work model, allowing a mix of remote and in-office work. Employees are expected to be in the office at least two days per week and work from home up to three days. The schedule may be adjusted based on training, department needs, and client requirements.

 

Essential Functions: 


Supervise, mentor, and coach revenue cycle staff.
Promote department goals by recruiting, training, and motivating capable tea members.
Plan and prioritize schedules and assignments, ensuring KPIs and service goals are consistently met.
Serve as a point of escalation for staff, compliance, and payers to resolve complex issues.
Lead and manage day-to-day coding auditing operations, ensuring accuracy, compliance, productivity standards, and technical resource functionality.
Monitor coding quality, productivity, and lag times; identify and communicate revenue-impacting issues.
Ensure compliance with CMS, HIPAA, OIG, and other regulatory standards.
Audit applicable revenue cycle processes to verify compliance and uncover revenue opportunities.
Analyze applicable KPIs, including claim projections, coding accuracy, and denial rates; report findings to appropriate leadership.
Partner with QI/Compliance and Revenue Cycle leadership to improve documentation and charge capture accuracy.
Develop and deliver functional reporting and collaborate on EMR system enhancements.
Act as a subject matter expert for EMR/EPM, clearing house, and coding-related workflows.
Effectively influence and communicate complex policy, charge improvement projects, and technology decisions, both internally and externally, for any revenue or compliance developments affecting the organization. 

QualificationsRequirements: 


Bachelor’s degree or 5 years of equivalent experience required.
3–5 years of experience in a professional healthcare setting.
Minimum 7 years of medical coding experience (behavioral health or multi-specialty preferred).
Minimum 5 years of documentation audit experience (behavioral health or multispecialty preferred).
Minimum 2 years of experience within Community health experience preferred.
Leadership experience preferred. 
Certified Professional Coder (CPC) required (AAPC).

Acceptable alternatives: CCS (AHIMA), CPC-A, COC, CCS-P, RHIA, RHIT.
Must maintain all required CEUs for certifications.


Specialized Certifications are also preferred. Specifically, those for behavioral health, compliance, value-based care, clinical documentation improvement, and medical auditing. 
Strong knowledge of medical coding (ICD-10, CPT-4, HCPCS) and healthcare reimbursement.
Experience and demonstrable understanding of applicable CMS compliance and fraud, waste, and abuse regulations are required.
Strong knowledge of payer rules, CMS/Medicaid, behavioral health, and PPS billing.
Proficiency with data analytic tools and resources.
Knowledge of statistical methods used in healthcare medical record completion and claim processing, SQL understanding preferred.
Proven ability to identify and resolve revenue and compliance issues.
Excellent communication and training skills across all staff levels.
Proficiency in Microsoft Office; SmartCare experience preferred