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Remote Jobs at Theoria Medical

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  • TM

    Manager, Coding and Billing Integrity

    Theoria Medical22 days agoFull-time
    Description: Manager of Coding, Billing, and Documentation Integrity responsible for coding accuracy, compliant billing, and documentation practices. • Focused on professional fee services, E/M coding, chronic condition documentation, risk adjustment (HCC/RAF), denial prevention. • Works closely with providers to ensure clean claims, optimal reimbursement, audit readiness. • Ideal for someone who thrives in reviewing charts, leading education, running audits, and owning workflows. Requirements: Bachelor’s degree in Health Information Management, Healthcare Administration, or related field preferred • CPC (Certified Professional Coder) mandatory • One or more of: CRC, CPMA, CCS-P, RHIT, or RHIA • 5+ years of experience in medical coding, documentation review, and billing compliance—focused on primary care services and nursing homes • 3+ years in a senior-level coding or billing position (lead or supervisory role preferred) • Strong knowledge of risk adjustment (HCC/RAF) and E/M codin ...