Job Description

Essential Job Functions

• Build trusted-advisor relationships with healthcare executives (CFOs, VPs of Revenue Cycle, HIM Directors, and CMOs).

• Conduct virtual and on-site visits to mine existing accounts for and develop new business prospects.

• Partner with Sales, Account Management and Marketing to build target lists, executive briefings, capability presentations, and client-specific value narratives.

• Build market visibility and business pipeline by publishing white papers, delivering webinars, and actively representing the firm through speaking engagements at key industry forums (including AHIMA, AAPC, HFMA, HIMSS, and specialty coding roundtables).

• Lead structured discovery workshops to map client revenue cycles (front-end, mid-cycle workflows like CDI/coding, and back-end billing/denials).

• Quantify operational baselines using key RCM performance metrics (DNFB, coder productivity, denial categories, case-mix index, and HCC RAF capture).

• Identify tangible value levers — net revenue uplift, denial reduction, AR-days compression, CMI capture, audit recovery avoidance, FTE arbitrage — and intangible value levers — physician satisfaction, CDI maturity, compliance posture, audit defensibility, leadership bandwidth, scalability and time-to-staff.

• Specifically target complex specialty coding gaps where the firm has differentiated capability: IP DRG validation, IR/Cardiology, Oncology, Trauma, Transplant, ED Pro-Fee, Same-Day-Surgery, Multi-Specialty Surgical, HCC / RADV, and CDI-coupled coding.

• Translate findings into a quantified Opportunity Assessment with a defensible business case, baseline vs. future-state model, and ROI / payback narrative.

• Partner with pricing and finance to co-create creative commercial constructs (FTE, per-chart, outcome-linked, or hybrid models).

• Lead RFI / RFP responses end-to-end: storyboarding, win-theme development, content orchestration across SMEs, orals preparation, and final negotiation support.

• Drive opportunities to closure — manage internal stakeholders, mitigate competitive threats, navigate procurement, and ensure executable, profitable, transitionable deals are signed.

• Partner with Transition and Delivery to ensure committed outcomes are operationally realistic and successfully handed over post-signature.

• Serve as the senior US-based SME on complex coding domains by staying current with CMS rule cycles (IPPS, OPPS, MPFS, MS/APR-DRG), AHA Coding Clinic, CPT Assistant, payer policy shifts, OIG work plans, and emerging audit/denial trends; translate these complex regulatory updates (including ICD-10, CPT, E&M MDM guidelines, and HCC v24/v28) into client-relevant talking points and unique proposal differentiators.

• Coach Sales, BD and Account Management on specialty-specific value stories, objection handling and credible technical positioning.

• Work seamlessly across Sales, Solution Architecture, Operations, Quality, CDI, Compliance, Pricing, Legal, Transition and Technology to engineer winning, deliverable solutions.

• Provide structured feedback to internal Operations and Technology teams regarding market gaps and emerging AI/autonomous coding needs.

• Influence go-to-market strategy, target segmentation, ICP refinement, packaging and pricing of the complex coding portfolio.

• Ensure every proposed solution is HIPAA-compliant, audit-defensible and aligned to AHIMA / AAPC ethical coding standards.

• Champion the firm's quality framework (IQ / EQ, FMEA-based CoE constructs, calibration, root-cause and CAPA discipline) in every customer conversation and commitment.

• Comply with all internal policies and procedures, including those related to HIPAA, information security, and data privacy.

• Maintain a current view of US RCM and coding-outsourcing market dynamics — competitor offerings, pricing benchmarks, payer-policy shifts (Medicare / Medicaid / commercial), labor market, and technology disruption (autonomous coding vendors, GenAI in coding).

• Provide structured market intelligence inputs to leadership for annual strategy and capability investment decisions.

Key Success Indicators/Attributes

• Demonstratable depth in at least two complex coding specialties.

• Fluency in US revenue cycle economics — payer mix, contract constructs, denial taxonomies, AR behavior, audit exposure (RAC/MAC/OIG/payer), and case-mix dynamics.

• Proven ability to convert technical discovery into quantified business cases and executive-grade narratives.

• Strong commercial instinct — pricing constructs, deal economics, risk-sharing models, contract negotiation.

• Demonstrated track record of winning multi-million-dollar coding / RCM outsourcing engagements.

• Credible at the CFO / VP-RCM / CMO table; able to flex from physician-leader conversations to procurement and CFO discussions in the same day.

• Outstanding written communication — proposals, white papers, executive memos; outstanding verbal — discovery interviews, orals, conference keynotes.

• Skilled in modern presentation craft (PowerPoint storytelling, data visualization, board-grade decks).

• Understands what global / blended delivery actually requires — transitions, training, quality, productivity, audit, governance — and never over-commits.

• Strong project-management discipline; can run multiple parallel pursuits without dropping commitments.

• Self-directed, hunter mentality, comfortable with ambiguity and travel-heavy schedules.

• High integrity, customer-obsessed, collaborative across geographies and time zones (including India delivery counterparts).

• Demonstrates analytical rigor and problem-solving across both qualitative and quantitative inputs.

Supervisory Responsibility

This role is principally an individual-contributor, customer-facing leadership position. The incumbent will, however, lead matrixed pursuit teams (Solution Architects, SMEs, Pricing analysts, Transition leads, Operations partners) on every active opportunity, and may have direct reports (e.g., Solution Manager, Coding Solution Architect, Proposal Manager) based on portfolio scale.

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Up to 50–60% travel, predominantly domestic US travel to current and prospective customer sites, industry conferences and internal pursuit meetings. Periodic international travel to delivery hubs (including India) is expected.

Required Education and Experience

• Bachelor’s degree in HIM, nursing, life sciences, business or a related discipline (or equivalent advanced formal training).

• Active AHIMA credential (RHIA, RHIT, or CCS) and/or AAPC credential (CPC, COC, CIC, CRC, CPMA).

• Minimum 12–15 years of progressive experience in US medical coding and revenue cycle management, with direct exposure to outsourced-services, provider, or payer settings.

• Minimum 5 years in a customer-facing growth, solutioning, consulting, or business development capacity within an RCM/coding services organization.

• Proven, hands-on expertise in at least two complex coding domains (e.g., Inpatient DRG, Interventional Radiology/Cardiology, Oncology, ED Pro-Fee, HCC/risk adjustment, or CDI-coupled coding).

• Demonstrated success authoring winning proposals and driving multi-million-dollar outsourcing engagements to closure.

• Direct experience working alongside global/blended (onshore + offshore) delivery teams.

Preferred Education and Experience

• MBAor equivalent graduate degree.

• Additional credentials such as CCDS, CDIP, CPMA, CRC, or specialized audit/compliance certifications.

• Prior experience at a top-tier RCM outsourcing firm.

• Familiarity with leading autonomous-coding/AI-assisted coding platforms (e.g., Fathom, CodaMetrix, Nym) and their commercial frameworks.

• Proficiency with standard enterprise platforms including MS Office (Word, Excel, PowerPoint), CRM tools (Salesforce/HubSpot, and market EHRs/Encoders (Epic, Cerner, 3M 360).

Additional Eligibility Qualifications

Security Access

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Manager” profile.

Microsoft Office

ADP

Oracle

Other

E3- Supervisors, Managers, Office Employees

Standard Manager

CRM (Salesforce/HubSpot), Proposal repository, BI dashboards

Other needs as required by the SVP Operations-US.

Other Duties

Required Education and Experience

• Bachelor’s degree in HIM, nursing, life sciences, business or a related discipline (or equivalent advanced formal training).

• Active AHIMA credential (RHIA, RHIT, or CCS) and/or AAPC credential (CPC, COC, CIC, CRC, CPMA).

• Minimum 12–15 years of progressive experience in US medical coding and revenue cycle management, with direct exposure to outsourced-services, provider, or payer settings.

• Minimum 5 years in a customer-facing growth, solutioning, consulting, or business development capacity within an RCM/coding services organization.

• Proven, hands-on expertise in at least two complex coding domains (e.g., Inpatient DRG, Interventional Radiology/Cardiology, Oncology, ED Pro-Fee, HCC/risk adjustment, or CDI-coupled coding).

• Demonstrated success authoring winning proposals and driving multi-million-dollar outsourcing engagements to closure.

• Direct experience working alongside global/blended (onshore + offshore) delivery teams.

Preferred Education and Experience

• MBAor equivalent graduate degree.

• Additional credentials such as CCDS, CDIP, CPMA, CRC, or specialized audit/compliance certifications.

• Prior experience at a top-tier RCM outsourcing firm.

• Familiarity with leading autonomous-coding/AI-assisted coding platforms (e.g., Fathom, CodaMetrix, Nym) and their commercial frameworks.

• Proficiency with standard enterprise platforms including MS Office (Word, Excel, PowerPoint), CRM tools (Salesforce/HubSpot, and market EHRs/Encoders (Epic, Cerner, 3M 360).

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com