Manager, Biller Coder at Privia Health

Location: Remote, US
| Full-time
Privia Health

Manager, Biller/Coder+ (CPC)

  • Remote, USA, United States
  • Employees can work remotely
  • Full-time
  • Department: 953 – Virtual Products – Scribe and Coder

Company Description

Privia Health is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

The Manager, Biller/Coder+ oversees the BILLER+ and CODER+ offerings under the Privia+ brand. This person is accountable for the success of these programs and manages the day-to-day operations for a growing customer base. This includes, but is not limited to, creating and maintaining SOP documentation, ensuring compliance at every step in the process, providing direction to a cross-functional team, and holding team members and vendor partners accountable to meet SLAs and performance expectations. The ideal candidate has operational and project management skills, experience managing a global workforce, and deep subject matter knowledge of physician revenue cycle, physician professional coding (Pro-Fee) and physician practice workflows in a multi-specialty physician practice environment.

Primary Job Duties:

  • Responsible for overall operational and programmatic success of BILLER+ and CODER+, including vendor partnerships, operational performance, and client satisfaction
  • Manage a global workforce of employed staff and vendor contracted billing and coding teams to ensure delivery on production targets, turnaround times, quality and other SLAs
  • Develop, review, and approve all Standard Operating Procedures (SOPs) regarding operations, escalations, team alignment, and any other relevant operational area
  • Serve as the primary escalation point for addressing operational and performance issues with vendors, partner organizations, and internal staff
  • Partner with Implementation to ensure successful customer go-lives, for large or complex customer implementations
  • Provide updates and reporting on key performance metrics to leadership
  • Regularly communicate program updates, new features and other important information to customers and internal stakeholders
  • Solicit feedback from customers on opportunities to improve or enhance programs
  • Identify and/or collaborate with RCM leadership on opportunities to improve the programs through workflow, technology and/or partnerships
  • Minimal travel to client sites for onboardings and performance management (as needed)
  • Perform other duties as assigned

Qualifications

  • Demonstrate knowledge and expertise of physician revenue cycle, physician professional coding and physician practice workflows
  • Experience managing a global revenue cycle team of direct reports and vendor partners
  • Ability to work effectively with clinicians and staff to implement change
  • Strong analytical and project management skills
  • Experience working in a revenue cycle management role within a multi-specialty physician practice setting strongly preferred
  • Experience with athenahealth PMS/EHR preferred
  • Relevant coding experience and certifications (CPC required – CPMA, CRC preferred)
  • Must comply with HIPAA rules and regulations

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