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Sr. Coding & Compliance Manager (Remote)

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

We are seeking an experienced and strategic leader for our Financial Operations team. In this role, you will be responsible for building and overseeing our medical coding compliance / standards, ensuring adherence to healthcare regulations, and leading initiatives to enhance accuracy and efficiency in coding and documentation practices. You will leverage your expertise as a medical coder and your management experience to work cross-functionally and ensure regulatory compliance. Consulting experience and a strong background in establishing coding compliance functions will be highly valuable as you guide the organization through complex healthcare compliance challenges.

Required Qualifications

  • 8+ years of relevant experience. 

  • Experience with a consulting-like approach to solving a problem at scale using non-traditional team based approaches.

  • Experience as a certified medical coder (CPC or equivalent) with hands-on experience in medical coding, including proficiency in coding systems such as ICD-10, CPT, and HCPCS.

  • Experience applying structure, prioritization and effective communication to solve problems not just for the current state, but also predict future need and scale operations.

  • Proven leadership ability with experience managing and mentoring teams in coding compliance, auditing, or related healthcare functions.

  • Strong understanding of healthcare regulations, including HIPAA, CMS guidelines, and other state/federal healthcare laws.

  • Ability to collaborate effectively with cross-functional teams and senior leadership.

  • Ability to convey complex compliance and coding issues to both technical and non-technical stakeholders. This includes internal teams and external parties (i.e. payers).

Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.

  • Consulting experience that demonstrates your ability to advise organizations on compliance strategies, processes, and systems.

  • Experience in establishing or leading coding compliance functions, including the development and implementation of processes, policies, and audit strategies.

  • Experience using data analytics with proficiency in Google/Excel (required), SQL (nice to have), Looker (nice to have)

  • Role will work with many technologies from AMD and other vendors and will need to understand at a high-level how data flows and what is possible.

  • Experience with behavioral health services / compliance.

We're serious about your well-being! As part of our team, full-time employees receive:

  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments

  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA

  • 401(k) plan access: Start saving for your future

  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering

  • Employee Assistance Program (EAP): Support for your mental and physical health

  • New hire home office stipend: Set up your workspace for success

  • Quarterly department stipend: Fund team-building activities or in-person gatherings

  • Wellness events and lunch & learns: Explore a variety of engaging topics

  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

  • Discounted programs: Fetch, SmartSpend, Ladder, SoFi

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

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Average salary estimate

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$100000K
$130000K

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What You Should Know About Sr. Coding & Compliance Manager (Remote), Rula

Are you ready to make a real impact in the mental health field? Join us as a Senior Coding & Compliance Manager at our innovative company, where we put mental wellness at the forefront of healthcare. This fully remote position offers you the opportunity to lead our Financial Operations team from the comfort of your own space, ideally located in sunny Los Angeles. We’re passionate about creating a world where mental health is embraced and treated with the utmost respect, and we need your expertise to build and oversee our medical coding compliance standards. In this strategic role, you'll ensure our adherence to healthcare regulations while enhancing accuracy and efficiency in our coding practices. You’ll draw on over eight years of experience and your certified medical coding skills to guide our organization through complex compliance challenges. Your leadership and mentorship abilities will be crucial as you work collaboratively with cross-functional teams and senior leadership, translating intricate compliance issues to both technical and non-technical stakeholders. We’re looking for someone who not only meets the requirements but also shares our vision of empowering individuals to reclaim their mental health. If you’re driven by the desire to cultivate a supportive and compliant coding environment, we can’t wait to meet you!

Frequently Asked Questions (FAQs) for Sr. Coding & Compliance Manager (Remote) Role at Rula
What are the primary responsibilities of a Senior Coding & Compliance Manager at your company?

As a Senior Coding & Compliance Manager, your main responsibilities will include building and overseeing medical coding compliance standards, ensuring adherence to healthcare regulations, and leading initiatives to enhance the accuracy and efficiency of our coding and documentation practices.

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What qualifications do I need to become a Senior Coding & Compliance Manager at your organization?

To qualify for the Senior Coding & Compliance Manager position, you should have at least eight years of relevant experience, experience as a certified medical coder (CPC or equivalent), and a strong understanding of healthcare regulations such as HIPAA and CMS guidelines.

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How does the company support employees’ professional development in the Senior Coding & Compliance Manager role?

Our company is committed to fostering professional growth, offering mentorship opportunities, team-building activities, and regular training sessions that focus on both compliance strategies and coding standards for our Senior Coding & Compliance Manager.

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What type of work environment can I expect as a Senior Coding & Compliance Manager at your company?

You can expect a fully remote work environment tailored to support your work-life balance, allowing you to manage your professional and personal commitments effectively while enjoying our comprehensive benefits package.

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What skills or experiences are preferred for the Senior Coding & Compliance Manager position?

While not required, preferred qualifications for the Senior Coding & Compliance Manager role include consulting experience related to compliance strategies, establishing coding compliance functions, and proficiency in data analytics tools such as Google Sheets and SQL.

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Common Interview Questions for Sr. Coding & Compliance Manager (Remote)
How have you ensured compliance in previous coding operations?

In your answer, highlight your experience with healthcare regulations and how you implemented processes to ensure compliance, mentioning any specific tools or strategies you used to monitor adherence.

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What coding systems are you proficient in, and how have they impacted your direct work?

Discuss your proficiency in systems like ICD-10, CPT, and HCPCS, emphasizing how your hands-on experience has led to error reductions or efficiency improvements in coding tasks.

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Can you describe a complex compliance issue you handled and how you resolved it?

Share an example that demonstrates your problem-solving skills, detailing the issue, your analytical approach, and the outcome that benefited the organization.

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How would you mentor a new member of your coding team?

Explain your mentoring philosophy and what steps you would take to onboard a new coder, focusing on providing both technical knowledge and fostering a supportive work environment.

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What strategies do you utilize to communicate complex coding issues to non-technical stakeholders?

Illustrate your communication skills by discussing how you simplify technical jargon, using examples that showcase your ability to connect with different audiences effectively.

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How do you stay current with changing healthcare regulations?

Discuss the methods you use to stay informed, such as attending webinars, participating in industry forums, or subscribing to relevant healthcare publications.

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What is your approach to developing coding audits and compliance processes?

Share your methodology for defining audit parameters, engaging your team in coding practices, and ensuring processes are in line with industry standards.

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Can you illustrate a time when you used data analytics to improve a coding process?

Provide a concrete example of how you analyzed data trends to identify inefficiencies, explaining the changes you made and the positive impact they had on the coding process.

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What role do you believe mental health plays in coding compliance?

Reflect on how mental health awareness can impact the work environment, productivity, and overall employee well-being, and how you incorporate this perspective into your management style.

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Why do you want to work with our organization specifically in this role?

Articulate your passion for mental health along with your respect for the company’s mission, and discuss how your experience aligns with both the goals of the organization and the responsibilities of the Senior Coding & Compliance Manager position.

Join Rise to see the full answer

Rula's mission is to make mental healthcare work for everyone.

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Full-time, remote
DATE POSTED
March 20, 2025

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