Revenue Cycle Manager- Mid-Cycle​/Coder

Venna Health is a physician‑led, value‑based primary care organization focused on delivering better outcomes, lower costs, and a radically better patient experience. We partner with patients, their families, payers and employers to provide longitudinal, relationship‑based care that actually works for patients and clinicians.

• Being a decent human being
• Proactive and preventative care
• Data‑driven decision making
• Team‑based practice
• Aligned incentives

The Revenue Cycle Manager – Mid‑Cycle / Coding leads clinical documentation integrity (CDI), professional coding accuracy, and charge capture workflows to ensure compliant, optimized reimbursement. This role sits between clinical care delivery and back‑end billing operations, ensuring that documentation supports accurate CPT, ICD‑10, and risk‑adjustment coding prior to claim submission.

The ideal candidate combines deep coding expertise with operational leadership and understands the financial and compliance impact of documentation quality in both fee‑for‑service and value‑based arrangements.

The ideal candidate combines operational discipline with analytical rigor and thrives in an environment that values teamwork, excellence and creating value for our communities through the delivery of exception care with the best outcomes at the most appropriate cost.

• Review provider documentation for completeness, specificity, and compliance.
• Ensure diagnoses support medical necessity and services rendered.
• Partner with clinicians to improve documentation clarity and capture complexity.
• Lead provider education on documentation best practices.
• Lead clinical documentation initiatives focused on recapturing chronic conditions to ensure accurate HCC/RAF scoring.

• Assign and/or review CPT, HCPCS, and ICD‑10‑CM codes.
• Ensure accurate modifier usage and NCCI edit compliance.
• Validate E/M level selection in accordance with CMS guidelines.
• Audit coding accuracy and provide feedback to providers and coders.
• Maintain coding compliance with CMS, commercial payers, and state regulations.
• Participate in HCC/RAF capture accuracy reviews.

• Manage mid‑cycle charge review work queues prior to claim submission.
• Resolve documentation or coding discrepancies before claims move to back‑end billing.
• Monitor lag time between date of service and claim‑ready status.
• Reduce coding‑related denials.
• Conduct internal coding audits.
• Prepare documentation for payer audits and external reviews.
• Develop corrective action plans for identified coding risks.
• Maintain policies and SOPs related to coding and documentation.

• Work closely with providers, clinical leadership, back‑end billing team, and finance leadership.
• Deliver feedback to clinical staff in a way that builds trust and partnership rather than friction.
• Partner with back‑end team to identify denial trends tied to coding.
• Participate in revenue cycle KPI reporting (e.g. DNFB/PreAR, Query Response Rate, Visit coding bell curves).

• 5+ years of professional coding experience (physician practice).
• Experience with MN Medical Assistance and other local payers like Blue Cross MN, Medica & Health Partners.
• Current certification: CPC, CCS‑P, or equivalent.
• Deep knowledge of CPT / HCPCS, ICD‑10‑CM, CMS E/M guidelines, modifier usage, NCCI edits.
• Experience with EMR systems (Epic preferred).
• Experience optimizing or overseeing Computer‑Assisted Coding (CAC) software.

• Experience in value‑based care or risk‑based contracts.
• Familiarity with Minnesota payer landscape.

To restore humanity to healthcare by placing people at the center of every decision.

Every decision starts with what’s best for the person in front of us.

Trust and empathy are the foundations of care. We invest in long‑term patient relationships, not transactional encounters.

We empower care teams to practice medicine the right way.

We measure success by healthier lives and optimal care and experience, while positively addressing rising healthcare costs.

We use data, feedback, and curiosity to continuously improve and we are honest about costs, outcomes, and decisions — with patients and each other.