Job Summary:The Coding Intelligence Program Manager is responsible for driving our billing and coding compliance initiatives. Reporting to the Senior Director, Revenue Cycle Management, this individual contributor role requires a deep understanding of healthcare administration, billing, coding, and compliance regulations. You will ensure that Included Health builds new service lines compliantly and you will address coding needs and billing requirements, while working with internal partners on the go-to-market team.Responsibilities:You'll develop, implement, and manage the coding intelligence program, ensuring compliance with all relevant laws, regulations, and guidelines.You'll collaborate with the Go-To-Market and Client Services teams to integrate compliance considerations into new service line development including athena/EMR solutioning.You'll conduct reviews and solution exercises on new coding needs and billing requirements, ensuring we meet compliance standards.You'll stay updated on changes in healthcare regulations and billing/coding guidelines to proactively update policies and procedures.You'll provide education and training to internal staff around billing and coding compliance requirements and best practices.You'll act as the primary contact for all coding compliance-related inquiries and issues.You'll analyze billing and coding data to identify trends, opportunities for improvement, and potential risks.You'll prepare and present comprehensive reports on billing and coding compliance activities to senior management and regulatory authorities.Qualifications:Minimum of 10 years of experience in healthcare billing, coding, and compliance, with at least 5 years in a leadership or management role.Bachelor's degree in healthcare administration, business administration, or related field or equal years of field experience.Certified Professional Coder (CPC) certification required; Certified Coding Specialist (CCS) certification preferred.Expert knowledge of healthcare billing and coding regulations, including Medicare, Medicaid, and private insurance guidelines.Ability to interpret complex regulatory requirements and billing/coding data.Experience managing complex compliance programs.Physical/Cognitive Requirements:Prompt and regular attendance at assigned work location.Capability to remain seated in a stationary position for prolonged periods.Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer / laptop) may be required.Capability to work with leadership, employees, and members in an appropriate manner.The United States new hire base salary target ranges for this full-time position are:Zone A: $85,320 - $110,910 + equity + benefitsZone B: $93,852 - $122,001 + equity + benefitsZone C: $102,384 - $133,092 + equity + benefitsZone D: $110,916 - $144,183 + equity + benefits
This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.
Benefits & Perks:In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more: Remote-first culture401(k) savings plan through FidelityComprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)Paid Time Off ("PTO") and Discretionary Time Off (“DTO")12 weeks of 100% Paid Parental leaveFamily Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.Work-From-Home reimbursement to support team collaboration home office work
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.About Included Health:Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at .-----Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at .
-----Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.