ReKlame Health

Manager

• Own CPT/ICD-10 coding and strategy across psychiatry and medication management, with a focus on high-acuity and complex patient populations.
• Improve first-pass claim acceptance by proactively ensuring correct coding.
• Develop payer-specific playbooks aligned with the fee schedule provided by our partners.
• Lead pre-bill and post-pay audits on a rolling basis.
• Identify denial, reversal, and clawback patterns through EOB analysis and flag systemic risks to improve the process.
• Translate insights into workflow and system improvements, working closely with Clinical Leadership, team members, tools, and technology.
• Ensure compliance and alignment with CMS, state Medicaid, and managed-care guidelines.
• Partner with Finance and Business Operations to identify, evaluate, and implement best-in-market billing technologies and automation solutions to improve efficiency.

Coding & Revenue Integrity Manager

Clinical Operations

• Own provider capacity planning across states, licenses, and payers
• Ensure Clinical schedules are balanced, efficient, and sustainable
• Maximize provider utilization while preventing burnout
• Forecast hiring needs aligned with visit growth targets
• Ensure operations is prepared before growth initiatives launch
• Collaborate cross-functionally with Medical Leadership, Finance, and Growth
• Own the full clinical delivery lifecycle: intake → scheduling → visit → follow-up
• Identify and eliminate operational bottlenecks
• Reduce no-shows, cancellations, and visit leakage
• Standardize workflows while maintaining patient-centered care
• Ensure timely documentation and clean clinical handoffs
• Operationalize clinical protocols defined/in partnership with Medical Leadership
• Ensure workflows meet federal, state, Medicaid, and payer requirements
• Partner on audits, QA initiatives, and Risk Management
• Identify operational risk early and implement mitigation plans
• Build repeatable, scalable clinical ops playbooks
• Prepare operations for new initiatives, service lines, and partnerships
• Stress-test systems ahead of volume spikes
• Maintain consistency and performance as visit volume scales
• Build, manage, and develop the clinical operations team
• Define clear roles, escalation paths, and accountability
• Coach and mentor ops leaders and frontline teams
• Serve as the primary operational partner to Growth, Finance, Business Operations, Revenue Cycle, Medical Leadership, and Chief of Staff.

Coding & Revenue Integrity Manager

Head of Clinical Operations