Coding Intelligence Program Manager

Job Summary : The Coding Intelligence Program Manager is responsible for driving our billing and coding compliance initiatives. Reporting to the Senior Director, Revenue Cycle Management, this individual contributor role requires a deep understanding of healthcare administration, billing, coding, and compliance regulations. You will ensure that Included Health builds new service lines compliantly and you will address coding needs and billing requirements, while working with internal partners on the go-to-market team.

Responsibilities :

• You'll develop, implement, and manage the coding intelligence program, ensuring compliance with all relevant laws, regulations, and guidelines.
• You'll collaborate with the Go-To-Market and Client Services teams to integrate compliance considerations into new service line development including athena / EMR solutioning.
• You'll conduct reviews and solution exercises on new coding needs and billing requirements, ensuring we meet compliance standards.
• You'll stay updated on changes in healthcare regulations and billing / coding guidelines to proactively update policies and procedures.
• You'll provide education and training to internal staff around billing and coding compliance requirements and best practices.
• You'll act as the primary contact for all coding compliance-related inquiries and issues.
• You'll analyze billing and coding data to identify trends, opportunities for improvement, and potential risks.
• You'll prepare and present comprehensive reports on billing and coding compliance activities to senior management and regulatory authorities.

Qualifications :

Physical / Cognitive Requirements :

The United States new hire base salary target ranges for this full-time position are : Zone A : $85,320 - $110,910  equity benefitsZone B : $93,852 - $122,001 equity benefitsZone C : $102,384 - $133,092 equity benefitsZone D : $110,916 - $144,183 equity benefitsThis range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.Benefits & Perks : In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more :  Remote-first culture401(k) savings plan through FidelityComprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)Paid Time Off ("PTO") and Discretionary Time Off (“DTO")12 weeks of 100% Paid Parental leaveFamily Building & Compassionate Leave : Fertility coverage, $25,000 for surrogacy / adoption, and paid leave for failed treatments, adoption or pregnancies.Work-From-Home reimbursement to support team collaboration home office workYour recruiter will share more about the salary range and benefits package for your role during the hiring process.

Salary : $25,000