Senior Manager, Revenue Cycle Management, Provider Operations

What you'll do

• Own revenue cycle strategy and performance across billing, coding, claims, denials, eligibility, and documentation workflows.
• Establish KPIs, controls, and reporting; use data and root-cause analysis to improve coding accuracy, claims performance, and reimbursement.
• Lead documentation integrity and denial-prevention initiatives, partnering with clinical, finance, compliance, credentialing, and other teams.

What they ask for

• 7+ years of progressive experience in healthcare revenue cycle, professional billing, coding, or related healthcare operations.
• 3+ years leading revenue cycle programs, teams, or functions with operational and/or financial accountability.
• Advanced knowledge of professional billing and coding, including CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, claims, denials, and payer requirements.
• Experience developing revenue cycle strategies, improving documentation integrity, analyzing complex data, and leading cross-functional initiatives.

Nice to have

• CPC, CCS, CCS-P, CPMA, or comparable coding/revenue cycle certification.
• Experience in a multi-state medical group, telehealth, payer and provider environments, risk adjustment, credentialing, or vendor management.

Pay

$122,212 - $160,404 per year (base salary)

Tools

CPT, ICD-10-CM, HCPCS, CCI/NCCI

AI focus

The posting describes AI guidelines for candidates and recruiting, but does not specify AI work for this role.