Top 8046 Mgr coding Jobs

Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
UCLA Health —Los Angeles, CA
- $95,400 - $208,300 a year
- Management
- Customer service
- 5 years
PRN Clinical Coding Reimbursement Compliance Manager
Harris Health —Bellaire, TX
- $46.85 - $60.90 an hour
- Part-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Access
Medical Coding Manager
Alteva RCM —Remote
- $85,000 - $110,000 a year
- Remote
- 5 years
- Recruiting
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
RCM Billing Account Manager
Nexus HR Services —Remote
- $60,000 - $65,000 a year
- Remote
- Computer literacy
- High school diploma or GED
- Data entry
- Dental insurance
- 401(k)
Quick Apply
QA Team Lead
CapsLock —Maryland
- Full-time
- Remote
- English
- Supervising experience
- Senior level
- Health insurance
- Paid time off
Quick Apply
Coding Lead
Renown Health —Reno, NV
- $32.76 - $45.87 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
Accounts Payable Manager (Hybrid)
L+M Development Partners —New York, NY
- $94,036 - $112,844 a year
- Full-time
- Mid-level
- Residential
- 3 years
Quick Apply
Manager Coding Education and Denials
Lee Health —Fort Myers, FL
- $38.48 - $50.01 an hour
- Full-time
- Remote
- Microsoft Excel
- Management
- Research
Sr Mgr, Compliance
AdventHealth Medical Group Central Florida —Maitland, FL
- $83,699.48 - $155,693.55 a year
- Full-time
- Background check
- Microsoft Excel
- Writing skills
- Paid parental leave
- Disability insurance
7d
Magento Tech Lead/ Architect – Remote
Jarvis Recruitment —Remote
- $150,000 a year
- Full-time
- Remote
- Management
- Senior level
- Leadership
Program Manager
Coding with Kids —Redmond, WA
- Email
- Mid-level
- Office
- Working with children
Manager, Coding Education and Quality
Carle Health —Champaign, IL
- $40.88 - $70.31 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
Remote Document Review Project Manager
Technology Concepts & Design (TCDI) —Remote
- Email
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- Mid-level
- 3 years
- Quality control
Clinical Quality Lead
Lumina Care —Remote
- $135,000 - $150,000 a year
- Full-time
- Remote
- Nursing
- Psychiatry
- 5 years
- Paid holidays
- Health insurance
Quick Apply
11d
Clinical Coding Manager
Reveleer —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Computer literacy
- HIPAA
- 3 years
- Health insurance
- Dental insurance
Quick Apply
RN- Team Lead- Hospice
Carilion Clinic —Radford, VA
- $81,120 - $129,792 a year
- Online Application
- Nursing
- RN License
- 5 years
- Mileage reimbursement
- Health insurance
Billing Manager
Community Health Alliance - Nevada —Reno, NV
- Full-time
- Word processing
- HIPAA
- Mid-level
- 403(b) matching
- AD&D insurance
Quick Apply
Data Science Manager - AI Trainer
DataAnnotation —Saint Paul, MN
- $40 - $60 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Bilingual (Korean& English) Procurement Manager
Alu Materials America —Halls, TN
- Full-time
- Microsoft Outlook
- Ability to walk for extended periods
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Data Science Manager - AI Trainer
DataAnnotation —Burlington, MA
- $40 - $60 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply

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Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

UCLA Health -
Los Angeles, CA

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Job Details

$95,400 - $208,300 a year

Qualifications

Data visualization software proficiency
HIPAA compliance
Management
Medicare
Managed care
Medical coding software
Managed care organization experience
CMS
Regulatory compliance in claims processing
HIPAA
Medical claims processing software
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Leading team collaboration initiatives
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing insurance claims teams
Operational excellence initiatives
Productivity software
Business operations
Cross-functional team management
Cross-functional communication

Full Job Description

Description

Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will:

Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments.
Foster a positive, high-performing team culture focused on quality and exceptional customer service
Identify opportunities to enhance workflows, resolve complex claim issues, and develop practical standard operating procedures
Empower the team to navigate challenging scenarios with confidence and consistency

Salary Range: $95,400 - $208,300/annually

Note: This position is flexible-hybrid.

Qualifications

We’re seeking a self-motivated, service-driven leader with:

Required:

Bachelor’s degree in business, health care or a related field and/or equivalent work experience
Five or more years of claims operations experience in a Medicare Advantage or related environment
Three or more years of managing personnel in a claims processing environment
In-depth knowledge of physician and facility billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding
Understanding of provider network/IPA arrangements and reimbursement methodologies, etc.
Knowledge of standard electronic and paper claim formats
Familiarity with AMA and Centers for Medicare and Medicaid Services coding guidelines
Computer proficiency with Microsoft Office Suite and data visualization tools
Knowledge of HIPAA, DMHC, AB1455, and CMS reporting requirements
Background with claims editing software (e.g., Optum CES, Web Strat, McKesson, etc.)
Experience in implementing and managing Prospective Payment System vendor application (Optum PPS, MicroDyn, 3M, etc.). (preferred)
Expertise with one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT
Excellent problem identification, resolution, and analytical abilities
Strong communication, interpersonal, and analytical skills
Ability to develop, implement, and evaluate methods/systems to improve efficiency
Ability to lead and facilitate cross-functional workgroups
Proficiency in achieving compliance with regulatory requirements
Ability to travel/attend off-site meetings and conferences

Preferred:

Certified Professional Biller (CPB)
Certified Revenue Cycle Representative (CRCR)

Apply Now

Refine Your Search

mgr coding jobs

Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

PRN Clinical Coding Reimbursement Compliance Manager

Medical Coding Manager

RCM Billing Account Manager

QA Team Lead

Coding Lead

Accounts Payable Manager (Hybrid)

Manager Coding Education and Denials

Sr Mgr, Compliance

Magento Tech Lead/ Architect – Remote

Program Manager

Manager, Coding Education and Quality

Remote Document Review Project Manager

Clinical Quality Lead

Clinical Coding Manager

RN- Team Lead- Hospice

Billing Manager

Data Science Manager - AI Trainer

Bilingual (Korean& English) Procurement Manager

Data Science Manager - AI Trainer

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