Supervisor, Revenue Cycle Clinical Coder Denials

Lead the frontline of revenue integrity—reduce denials, optimize collections, and drive team performance!

Work Location: Remote (candidates must reside in FL, GA, PA, NC, SC, TN, or TX)

Manage daily operations of the patient financial services team to ensure accurate and efficient billing and collections. Coordinate with healthcare providers and insurance companies to resolve billing issues and expedite payments. Monitor patient accounts for compliance with financial policies, train staff on handling inquiries and payment plans, and implement process improvements to optimize revenue cycle management. Review financial reports to identify trends and collaborate with other departments to streamline patient registration and insurance verification, while maintaining confidentiality and data protection standards.

Responsibilities include managing payer denial activities to support low denial rates and optimal reimbursement, directing denial management processes, establishing departmental goals, planning projects to improve billing effectiveness and appeal turnaround times, performing denial trend analysis (including Epic system edits, coding validation, CDM processes, authorization trends, payer-specific denial trends). Collaborate with Clinical Denial Assistant Manager to educate departments on charging, billing, and coding practices ensuring compliance. Partner with Managed Care and Compliance teams to resolve department and payer issues. Provide support across revenue cycle functions including clinical departments, patient financial services, revenue integrity, and managed care. Lead and support the Clinical Denial team.

Required education: High School Diploma or GED. Preferred education: Associate’s degree in healthcare or business-related field.

Skills required: Knowledge of hospital billing and reimbursement, denials and appeals, coding, insurance protocols, federal and state regulations; initiative in problem-solving and process improvement; strong time-management and multitasking in fast-paced environments; leadership and conflict resolution; excellent communication skills; proficient in Microsoft Office.