Remote Denial Prevention Analyst Jobs in Spring, TX

Job Title: Manager, Coding Education & Quality

Location (City, State): Remote (Eligible U.S. States Only)

Industry: Healthcare | Health Information Management (HIM)

Pay: $130,000–$140,000 base salary (up to $148,000 for exceptional candidates)

$5,000 sign-on bonus with a 2-year commitment

Potential 5% salary increase after one year based on organizational performance

Benefits: This role is eligible for medical, dental, vision and 401k.

About Our Client:

Our client is a leading healthcare organization seeking an experienced coding leader to oversee education, auditing, quality assurance, and compliance initiatives across multiple coding disciplines. This leadership position will partner with coding operations and Clinical Documentation Integrity (CDI) teams to promote coding excellence, regulatory compliance, and continuous improvement.

Job Description:

The Manager, Coding Education & Quality will be responsible for leading coding education programs, managing audit functions, supporting quality improvement efforts, and ensuring coding accuracy across inpatient, outpatient, professional fee, hospital billing, and CDI environments. This individual will serve as a key resource for coding guidance, denial prevention strategies, compliance initiatives, and staff development.

Key Responsibilities:

• Lead coding education, auditing, and quality programs across multiple service lines.
• Oversee internal and external coding audits and ensure compliance with established standards.
• Create and deliver educational materials and training sessions for coders and providers.
• Monitor coding quality metrics and identify opportunities for process improvement.
• Analyze denial trends and audit results to implement corrective actions and educational initiatives.
• Collaborate with coding operations and CDI leadership on best practices and regulatory updates.
• Track performance data and provide reporting to leadership teams.
• Support onboarding, training, and competency development of coding professionals.
• Maintain and update coding policies, procedures, and reference materials.
• Serve as a subject matter expert for coding and compliance-related questions.

Qualifications:

• Bachelor’s degree in Health Information Management, Allied Health, Education, or a related field required.
• RHIA, RHIT, or CCS certification required.
• Minimum of 5 years of coding experience.
• Strong experience in Inpatient (IP), Outpatient (OP), Professional Billing (PB), Hospital Billing (HB), and Clinical Documentation Integrity (CDI).
• At least 3 years of leadership or supervisory experience overseeing education, auditing, denials, or quality functions.
• Advanced knowledge of ICD-10, CPT, HCPCS, modifiers, and E/M coding guidelines.
• Experience conducting coding audits and delivering education programs.
• Strong communication, relationship-building, and leadership skills.
• Epic experience preferred.

Additional Details:

• Monday–Friday schedule, 8:00 AM–5:00 PM CST.
• Additional hours may be required during peak periods, with workloads occasionally reaching 50 hours per week.
• Limited travel required (approximately once per year).
• Hiring process includes resume review, coding assessment, hiring manager interview, and final leadership interview.
• Coding assessment covers inpatient, outpatient, and same-day surgery scenarios and requires a minimum score of 90% in each section.
• Seeking a proactive leader who can effectively coach, mentor, and influence teams while driving positive change.

Perks/Benefits:

• $5,000 sign-on bonus.
• Opportunity for annual salary increase based on company performance.
• Comprehensive benefits package.
• Remote work environment.
• High-visibility leadership role with organization-wide impact.
• Opportunity to shape coding education, compliance, and quality strategy across a large healthcare setting.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.