Client Success Manager; Medical Coding

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.

Plutus Health offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the opportunity to work on cutting-edge projects, leveraging the latest technologies and methodologies to deliver intelligent solutions that make a tangible difference for our clients.

Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals.

Job Title: Client Success Manager (Medical Coding)

Experience:7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role

Qualification: Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred).

Terms: Full-time

We are seeking an experienced Client Success Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.

The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.

Client Success & Relationship Management:

• Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
• Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
• Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
• Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.

Medical Coding & Compliance Oversight:

• Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
• Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
• Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
• Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
• Provide training and education to clients and internal teams on evolving coding guidelines and best practices.
• Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
• Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
• Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
• Drive coding automation initiatives to improve operational efficiency and minimize…