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Manager, Coding Audit & Compliance

Role overview

Qualifications

  • 4+ years of experience in the healthcare industry
  • Bachelor’s degree preferred
  • CPC and CPMA certifications required
  • Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office

Responsibilities

  • Lead end-to-end coding, compliance, audit, RCM, and project-specific engagements
  • Manage timelines, budgets, deliverables, and quality standards
  • Supervise, coach, and mentor Consultants and Senior Consultants
  • Build and maintain strong, trust-based client relationships

Key facts

  • Remote from: Anywhere
  • Full time
  • Mid-level (2-5 years)
  • 0
  • English

Other skills

  • Analytical Skills
  • Critical Thinking
  • Non-Verbal Communication
  • Detail Oriented
  • Social Skills

About the company

VMG Health logo

VMG Health

At VMG Health, we’re more than just a team of experts; we’re trusted partners in the business of healthcare. Backed by a team of over 300 professionals and a history of more than 70,000 engagements since 1995, we bring experience deep and wide to every project. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. Our solutions-oriented approach to client needs is bolstered by our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs. At VMG Health, we make healthcare business performance personal.

Company details

Company size201 - 500

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Job description

Description

About the Role

We are seeking an experienced Manager to support the continued expansion of our Coding, Audit, Compliance, and Revenue Cycle Management (RCM) consulting practice. This leader will oversee client engagements, guide teams of auditors, coordinators and consultants, and ensure the delivery of accurate, high-quality audit reports and work products.

In this role, you will drive engagement planning and execution, lead client communication, mentor staff, and contribute to service line innovation and business development initiatives.


Key Responsibilities

Engagement Management & Client Delivery

  • Lead end-to-end coding, compliance, audit, RCM, and project-specific engagements, ensuring successful execution from kickoff through completion.
  • Manage timelines, budgets, deliverables, and quality standards to produce client-ready outputs.
  • Translate complex regulatory guidance (CMS, AMA, payer policies) into actionable insights, policies, procedures, and educational materials.
  • Review and synthesize audit findings with a focus on accuracy, consistency, detail, and improvement recommendations.
  • Serve as a primary client contact; deliver education, facilitate meetings, and develop training content.
  • Perform Quality Assurance reviews, document improvement opportunities, and uphold production and quality standards for audit and coordinator teams.

Team Leadership & Development

  • Supervise, coach, and mentor Consultants and Senior Consultants.
  • Delegate work effectively while supporting staff growth and skill development.
  • Provide timely, constructive performance feedback.
  • Foster a collaborative, high-performing team culture.

Client Relationship Management

  • Build and maintain strong, trust-based client relationships.
  • Support ongoing client needs and identify opportunities for expanded services.

Preferred Qualifications

  • Experience in Revenue Cycle Management or Revenue Integrity.
  • EPIC system expertise.
  • Prior client-facing consulting experience.

Skills & Competencies

  • Strong analytical and critical thinking abilities.
  • Excellent written and verbal communication skills.
  • Ability to produce clear, concise, client-ready deliverables.
  • High attention to detail and commitment to quality.
  • Ability to manage multiple priorities in a fast-paced consulting environment.
  • Professional presence and strong interpersonal skills.
  • Commitment to a team-oriented, collaborative culture.
  • Opportunities for leadership, professional growth, and thought leadership.
Requirements

 Minimum Qualifications

  • 4+ years of experience in the healthcare industry.
  • Bachelor’s degree preferred.
  • CPC and CPMA certifications required.
  • Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office.
  • Expert knowledge of:
    • CPT/HCPCS coding
    • E/M guidelines and documentation standards
    • HCC and Specialty Coding
    • CMS and payer regulatory requirements
    • External payer audit targets and response strategies
  • Demonstrate experience in project management and team leadership.
  • Background in healthcare compliance, auditing and coding review.
  • Experience developing and delivering provider education and training.
  • Familiarity with audit tools, data analytics, or AI-supported review platforms.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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