Trinity Health · 1 day ago
Regional Manager, Professional Coding THMG (REMOTE)
United States
Full-time
Remote
Senior Level
5+ years expTrinity Health is a healthcare organization seeking a Regional Manager for their Professional Coding team. The role involves managing and providing strategic oversight to the coding team, ensuring compliance with coding standards, and collaborating with various departments to optimize revenue and coding accuracy.
DeliveryHealth Care
Responsibilities
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
Provides leadership and manages the work of assigned regional staff, including the monitoring of staff competencies, hiring of new staff, orientation of new assignments, developing goals and objectives, conduction of annual performance appraisal and the utilization of performance resolution process, including performance improvement plans and corrective action, as needed
Works with providers and ambulatory practice leaders to develop accurate, effective, efficient, and compliant charge capture and coding processes that ensure revenue is recorded for all services provided and clinical documentation exists to support all charges and coding assigned
Ensures systems and processes comply with federal, state and payer-specific coding, billing and reimbursement guidelines
Identifies patterns and trends impacting coding and reimbursement to coordinate with THMG Revenue Cycle Site Operations, Professional Billing, Auditor, and Educators, EPFS, and Professional Revenue Integrity educational materials and payer communications to ensure coding accuracy
Oversees coding and charge capture reconciliation with Regional Professional Coding Supervisor(s)
Manages team compliance to initial and ongoing audit recommendations, ensures educational materials and programs are available to staff, and safeguards are in place to promote accuracy
Assists in the development of software applications in assigned areas to resolve simple and complex issues and aligns action plans with local and Trinity goals and objectives
Monitors daily trends to help guide Revenue Site Operations leadership team with targeted areas for improvement to achieve THMG top performance metrics and minimize Charge Router, Charge Review and Claim Edits dollars in Pre-AR and AR
Works with Informatics leadership to identify and resolve trends with process gaps causing errors in charge capture and provider compensation
Works closely and collaborates with assigned THMG region’s Finance, Operations, and Practice Leaders, Providers, C-Suite Payer Strategies, EPFS and other regional leaders and colleagues across the organization
Responsible for Regional Professional Coding departmental budget
Motivates staff to achieve the highest levels of performance, working in conjunction with all key stakeholders to prevent revenue leakage and maximize potential revenue for the region
Optimizes staff and overall revenue performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and feedback
Attends coding and reimbursement workshops and webinars; communicates related information to appropriate departments and ensures understanding and assists with applicable process or system changes as needed
Establishes and monitors key performance measures and targets to achieve optimal performance; ensures placement of appropriate internal controls; and employs corrective action to remedy problems or shortfalls
Other duties as needed and assigned by the director
Maintains a working knowledge of applicable Federal, State, and local laws/regulations, the Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
Qualification
Required
Must possess a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience, as normally obtained through a bachelor's degree in related field and five (5) to seven (7) years of progressively responsible experience in revenue cycle operations or equivalent combination of education and progressive revenue cycle experience
Current standing as a Certified Professional Coder (CPC) or RHIT
Minimum of three (3) to five (5) years of management experience in a multi-facility, integrated health care delivery system, revenue cycle, or consulting experience
Four (4) to six (6) years of experience in multi-specialty coding, with comprehensive knowledge of Medicare, Medicaid, and other third-party billing rules and regulations
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation
Ability to maintain confidentiality of patient and organizational information
Ability to prioritize and organize work effectively
Ability to exercise independent judgment as appropriate within standard practices and procedures
Ability to inspire and motivate others to perform well; accepts feedback; gives appropriate recognition
Ability to approach conflict in a constructive manner
Ability to identify problems, offer solutions, and participate in their resolution
Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general
Participates as appropriate in continuing educational programs and activities that pertain to healthcare and revenue cycle management, as well as specific functional areas
Develops and implements an annual plan of personal and professional development
Participates in local, regional, and national health care revenue activities and professionally represents Trinity Health at these functions
Serves in a leadership role and promotes positive Human Resource Management skills
Fosters teamwork atmosphere between business and clinical stakeholders
Retains, recruits, and manages staff to achieve strategic objectives
Provides staff training and mentoring
Good organizational and time management skills to effectively juggle multiple priorities and time constraints
Ability to exercise sound critical thinking, problem-solving and decision-making skills
Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations
Ability to work remotely from home following Trinity remote work guidelines
Must be comfortable operating in a collaborative, shared leadership environment
Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health
Preferred
Certified E&M Coder (CEMC)
Certified Risk Adjustment Coder (CRC)
Company
Trinity Health
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.
10001+ employees
H1B Sponsorship
Trinity Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (12)
2023 (10)
2022 (9)
2021 (7)
2020 (14)
Funding
Current Stage
Late StageTotal Funding
$0.02MKey Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M
Leadership Team
Dan Drake
Trinity Health PACE President and CEO
Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
Recent News
2026-01-16
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