Manager, PB Coding Denials Integrity – Medical Specialties

Advocate Aurora Health

. Lead and manage daily operations within the assigned function area .

Posted 9/18/2026full-timeRemote • Alabama • United StatesSeniorLead💰 $51 - $77 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Mid-Revenue Cycle Operations, including coding, healthcare technology, and compliance with regulatory standards. Proven ability to lead teams, optimize workflows, and implement data-driven strategies for operational improvement.

Highest-signal resume keywords

Coding Certification (AAPC or AHIMA)8+ Years in Mid-Revenue Cycle OperationsLeadership Experience in Healthcare SystemsKnowledge of ICD-10, CPT, HCPCSProficiency in Microsoft 365

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Mid-Revenue Cycle OperationsCodingHealthcare TechnologyData AnalysisWorkflow OptimizationRegulatory ComplianceEHR SystemsPerformance EvaluationKPI MeasurementProblem Solving

Soft Skills

Interpersonal CommunicationTeam ManagementCross-Functional CollaborationCreative Problem SolvingAttention to Detail

Tools & Technologies

Healthcare Analytics ToolsMicrosoft TeamsMicrosoft SharePointMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access

Certifications & Qualifications

Coding Certification (AAPC or AHIMA)Relevant Industry Certification

Industry Keywords

Healthcare AdministrationRevenue Cycle ManagementCompliance StandardsAccreditation StandardsThird-Party Reimbursement ProgramsHIM Operational GuidelinesClinical Integration

About the role

Key responsibilities & impact

Lead and manage daily operations within the assigned function area
Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle
Ensure adherence to regulatory requirements, accreditation standards, and organizational policies
Maintain confidentiality of patient records and report perceived non-compliant practices
Use KPIs to measure effectiveness, track trends, and implement data-driven improvement strategies
Leverage healthcare technology and analytics tools to enhance efficiency and support decision-making
Engage clinical, IT, Compliance, and Revenue Cycle leaders to integrate Mid-Revenue Cycle processes
Build and maintain stakeholder relationships to drive communication, problem-solving, and operational alignment
Manage and develop a team, including hiring, performance evaluations, professional development, training, feedback, and career growth
Lead strategic initiatives, oversee timelines, and drive system enhancements
Support PB Medical Specialties including Laboratory, Pathology, Behavioral Health, Pediatrics development, Allergy and Immunology, Dermatology, Gastroenterology, Hepatology, Infectious Disease, Endocrinology, Nephrology, Rheumatology, Pulmonology, Sleep, VH, MFM, OB/GYN, OB GYN/Repro Endo, and UROGYN
Work Monday through Friday on first shift, 40 hours per week
Travel may be required

Requirements

What you’ll need

Coding Certification issued by the American Academy of Coders (AAPC) or the American Health Information Management Association (AHIMA)
Relevant industry certification from an approved accrediting body
Bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience
Minimum 8 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology
2+ years of leadership experience in a large integrated healthcare system
Knowledge of facility coding, professional coding, and HIM operational guidelines and workflows
Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS)
Ability to organize, compile, and analyze data from various sources
Strong understanding of EHR systems and revenue cycle technology solutions
Proficiency in Microsoft 365, including Teams, SharePoint, Word, Excel, PowerPoint, and Access
Experience optimizing workflows and improving operational effectiveness in a complex healthcare environment
Ability to prioritize business needs and manage resources
Proven ability to manage teams, coach staff, and foster continuous improvement and accountability
Ability to work across multiple departments and within matrix organizational structures
Strong interpersonal and cross-functional communication skills
Ability to identify and solve problems creatively, work within deadlines, and maintain accuracy and attention to detail
Ability to lift up to 40 lbs. occasionally
Ability to operate all equipment necessary to perform the job

Benefits

Comp & perks

Benefits Eligible
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Medical, dental, vision, life, and Short- and Long-Term Disability benefits
Flexible Spending Accounts for eligible health care and dependent care expenses
Adoption assistance and paid parental leave
Defined contribution retirement plans with employer match
Other financial wellness programs
Educational Assistance Program
Career development programs
Well-being programs