Revenue Cycle Manager

Job Summary

To enhance revenue integrity across multiple business lines, the full-time remote Revenue Cycle Optimization & Integrity Manager will oversee coding accuracy, compliance, and process improvements while managing denials and appeals, and leading cross-functional initiatives.

Key responsibilities

• Own coding and documentation-integrity standards, ensuring compliance with regulatory requirements across various lines of business
• Manage denials and appeals workflows, analyzing trends and implementing corrective actions to prevent recurrence
• Author and maintain standard operating procedures and documentation that define Revenue Cycle processes enterprise-wide

Required qualifications

• Advanced knowledge of CPT, ICD-10, and E/M coding, as well as Medicare and multi-state regulatory requirements
• 5+ years of experience in medical coding, billing, or healthcare revenue cycle functions
• Active coding certification (CPC, CPB, CPC-D, or equivalent) required
• Demonstrated expertise in coding audits, denials and appeals management, and revenue-integrity practices
• Strong leadership skills with experience in mentoring and training staff