Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials
Lead the frontline of revenue integrity—reducing denials, optimizing collections, and driving team performance.
Work Style: Remote
Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX)
FTE: Full-Time (1.0 FTE)
Manages the daily operations of the revenue cycle clinical denial coding team to ensure accurate, timely resolution of denied claims and optimization of reimbursement. Oversees workflows, assigns work, and monitors productivity and quality to drive performance and compliance.
Collaborates with healthcare providers, coding teams, and insurance payers to resolve billing issues, support appeal processes, and expedite payment. Reviews financial and denial reports to identify trends, implement corrective actions, and improve overall denial management strategies.
Trains and mentors staff on denial resolution, coding accuracy, and payer requirements while promoting best practices. Partners with cross-functional teams—including patient access, billing, and managed care—to streamline processes and enhance revenue cycle efficiency.
Maintains strict adherence to confidentiality, data protection standards, and regulatory requirements while driving continuous improvement across enterprise denial operations.
Responsibilities:Key Responsibilities
Manage and oversee all payer denial activities to support low denial rates and optimal reimbursement.
Direct daily operations of the denial management process and identify opportunities for workflow and process improvements.
Establish departmental goals, measure process effectiveness and productivity, and identify the need for updated policies and procedures.
Plan and organize projects aimed at improving billing effectiveness, reimbursement rates, and appeal turnaround times.
Perform denial trend analysis, including:
Epic system edits
Coding validation
Charge Description Master (CDM) processes impacting reimbursement
Authorization trends and performance improvement
Payer-specific denial trends
Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory compliance.
Partner with Managed Care and Compliance teams to resolve issues involving departments and payers.
Report to the Enterprise Senior Denial Manager.
Provide support across the revenue cycle, including:
Clinical departments
Patient Financial Services
Revenue Integrity
Managed Care
Lead and support the Clinical Denial team.
High School Diploma or GED
Associate’s degree in a healthcare or business-related field
Demonstrated knowledge of hospital billing and reimbursement processes, including denials and appeals, third-party contracts, insurance protocols, delay tactics, systems, and workflows, as well as federal and state healthcare regulations.
Ability to take initiative by identifying problems, developing solutions, and implementing process improvements.
Strong time-management skills with the ability to multitask effectively in a fast-paced environment with tight deadlines.
Proven leadership abilities, including conflict resolution and excellent customer service skills.
Exceptional written and verbal communication skills.
High level of proficiency with computer systems, including Microsoft Office applications (Word, Excel, Outlook, PowerPoint).
One of the following certifications is required: CPC, COC, RHIT, RHIA, or CCS
Not applicable
Three (3) to five (5) years of experience, including:
Minimum of three (3) years of coding, insurance, or denial-related experience
Minimum of three (3) years of management experience
Supervisory Responsibility: Yes
Number of Employees Supervised: 1–5
Not applicable
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