(CPMA) Certified Professional Medical Auditor biller coder jobs

Full Time Xtern Program

Executive Director of Revenue Cycle Management (RCM) – Behavioral Health

Phoenix Behavioral Healthcare, LLC Jupiter, FL, USA

Phoenix Behavioral Healthcare, LLC is seeking a highly skilled Executive Director of Revenue Cycle Management (RCM) to oversee and optimize the full revenue cycle across multiple behavioral health facilities, clinics, laboratories, and E&M service lines. This onsite leadership role manages all aspects of RCM operations—including intake, UR/UM alignment, coding, billing, claims submission, collections, clinical documentation improvement, denial management, appeals, and compliance oversight. Key Responsibilities: Lead, manage, and optimize end-to-end revenue cycle operations for all Phoenix facilities Oversee billing and coding for inpatient, outpatient, lab, and professional services (UB-04 & CMS-1500) Direct UR/UM workflow integration to improve documentation quality and turnaround times Manage and mentor a full RCM support team (billers, coders, auditors, documentation trainers, compliance) Develop standardized...

CR

Full Time

RCM Director

Comprehensive RCM Remote

Director of Operations – Revenue Cycle Management (RCM) We are a newly launched Revenue Cycle Management (RCM) company seeking a Director of Operations to help build, scale, and lead our operational infrastructure from the ground up. This role is ideal for a seasoned RCM professional with broad industry experience and a proven track record of scaling operations in a growth environment. About the Company The owner operates multiple successful healthcare ventures with an established client base that already requires RCM services, providing immediate volume and growth opportunity. This new RCM company is being built with a focus on: Supporting a wide range of outpatient practice types Maintaining a strong compliance-first operating model Operating with 100% U.S.-based staff Delivering high-quality, scalable, and ethical billing services Role Overview The Director of Operations will oversee day-to-day RCM operations while helping design...

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

3 biller coder jobs found