Revenue Cycle Manager

Company Description:
A fast-growing national practice is seeking a highly motivated and detail-oriented Revenue Cycle Manager with coding experience to join our dynamic team. This role offers a unique opportunity to grow with us, requiring adaptability, precision, and strong organizational skills in a high-paced, fast-changing environment.

Job Summary:
The Revenue Cycle Manager will oversee and manage the entire billing cycle, ensuring accuracy, compliance, and efficiency. This role requires expertise in coding, problem-solving, and leadership to support the team and drive the organization’s financial success, with specialized experience in claims for cellular tissue (skin graft) products.

Key Responsibilities:

• Oversee the coding and abstracting of patient encounters, including diagnostic and procedural information, including cellular tissue (skin graft) products.
• Conduct analysis to ensure accurate documentation and data needed for reimbursement.
• Audit clinical documentation to verify alignment with billed services and regulatory requirements.
• Assign appropriate codes for reimbursements, research, and regulatory compliance.
• Act as a resource and subject matter expert to the coding staff and care providers.
• Research, analyze, and correct documentation discrepancies while implementing preventative measures for future coding errors.
• Manage claim releases and oversee the billing team’s operations to ensure timely and accurate submissions.
• Generate and review accounts receivable (A/R) reports, addressing issues to improve collections.
• Provide software support and training for the billing team, including standard operating procedures (SOPs).
• Monitor clearinghouse reports to ensure clean claim submissions and address rejections.
• Perform revenue cycle management tasks such as timely filing, optimizing collections, and resolving denied or rejected claims.
• Set up and maintain EDI and ERA processes, ensuring CMS compliance and addressing off-label billing.
• Lead special projects as assigned and contribute to the continuous improvement of the revenue cycle process.

Requirements:

• Extensive understanding of medical and billing terminology.
• Expertise in coding and processing claims for cellular tissue (skin graft) products.
• Proficiency with software such as Microsoft Office Suite (Excel, Word).
• Experience in payment posting (preferred).
• Coding experience is required; CPC certification is preferred but not mandatory.
• At least 7 years of experience in a medical office or similar setting.
• Knowledge of billing and coding in a long-term care environment.
• Exceptional communication, organizational, and leadership skills.
• Demonstrated accountability, professionalism, and a proactive attitude toward change and innovation.
• Proficiency in using billing software applications.

Why Join Us?
This is your opportunity to contribute to a growing, innovative practice while refining your expertise and advancing your career. If you’re a motivated professional with a strong background in revenue cycle management, we invite you to become part of our success story.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Do you have any state or federal offense or restrictions that will prohibit you from employment?

Experience:

• Revenue cycle management: 5 years (Required)
• coding: 2 years (Required)

License/Certification:

• Certified Professional Coder License (Preferred)

Work Location: Remote