
51 - 200 employees
đĽ Healthcare
đ§ Wellness
đĽ B2C
Healthcare ⢠Wellness ⢠B2C
Imagine Pediatrics is a healthcare provider focused on delivering specialized pediatric care. The company is dedicated to improving children's health through personalized medical attention, preventive care, and effective treatment options. With a team of experienced professionals, Imagine Pediatrics aims to create a supportive and welcoming environment for children and their families, emphasizing the importance of a healthy start for all individuals.
đ October 8
đ¤ Texas â Remote
đľ $100k - $130k / year
â° Full Time
đ Senior
đ´ Lead
đš Revenue Operations
đť Ghost score 0%
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51 - 200 employees
đĽ Healthcare
đ§ Wellness
đĽ B2C
Healthcare ⢠Wellness ⢠B2C
Imagine Pediatrics is a healthcare provider focused on delivering specialized pediatric care. The company is dedicated to improving children's health through personalized medical attention, preventive care, and effective treatment options. With a team of experienced professionals, Imagine Pediatrics aims to create a supportive and welcoming environment for children and their families, emphasizing the importance of a healthy start for all individuals.
⢠Lead day-to-day billing and coding operations across multiple markets, payers, service lines, and payment models, with direct management oversight of Billing and Coding Supervisors ⢠Monitor coding queues, billing worklists, claim submission, denials, rejections, and operational backlogs; maintain staffing and capacity planning to meet service levels ⢠Apply strong knowledge of CPT, ICD-10-CM, HCPCS, payer edits, and coding compliance to evaluate complex operational issues ⢠Serve as the escalation point for complex billing, coding, workflow, staffing, and payer-related issues and coordinate cross-functional resolution ⢠Partner with Revenue Integrity and Compliance on advanced auditing, policy interpretation, and integrity investigations ⢠Ensure operational controls and follow-through as new workflows, payer requirements, or audit findings are introduced ⢠Lead, coach, and develop Billing and Coding Supervisors and their teams ⢠Build supervisory leadership capability through coaching in people management, prioritization, delegation, and problem-solving ⢠Establish management cadences, translate department goals into KPIs and execution plans, and identify performance gaps ⢠Support workforce planning, hiring, onboarding, and training as operations scale ⢠Own and monitor Revenue Cycle KPIs, including coding productivity and quality, turnaround time, backlog, denials, and worklist performance ⢠Use data and Analytics partnership to identify risks, capacity constraints, and improvement opportunities ⢠Report performance, risks, and action plans to Revenue Cycle leadership ⢠Maintain and improve Revenue Cycle workflows, SOPs, and controls; lead efficiency and scalability improvements ⢠Support readiness for new markets, payers, and programs and escalate systemic issues requiring broader intervention ⢠Partner with Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, Payer/Partner teams, and Product/Technology to resolve issues, implement changes, and drive results
⢠7+ years of progressive Revenue Cycle experience ⢠Substantial coding and billing operations experience required ⢠3+ years of direct people leadership experience, including managing supervisors or other frontline leaders ⢠Certified Professional Coder (AAPC or AHIMA) required ⢠CPPM, CPCO, or CHFP preferred ⢠Demonstrated ability to manage coding operations, including productivity, quality, turnaround time, backlog, and denials ⢠Strong working knowledge of CPT, ICD-10-CM, HCPCS, documentation requirements, payer edits, and coding compliance principles ⢠Ability to evaluate operational issues, interpret QA findings, and determine when escalation to Revenue Integrity or Compliance is needed ⢠Demonstrated ability to coach, hold accountability, and develop frontline leaders and high performers ⢠Proven ability to lead through others and build team capability across multiple payers, markets, and service lines ⢠Strong communication and relationship-management skills across clinical, operational, technical, and compliance teams ⢠Experience with Athenahealth or a comparable EHR/practice management platform strongly preferred ⢠Experience in pediatric, value-based, or high-growth environments is a plus
⢠Annual bonus incentive ⢠Competitive company benefits package ⢠Employee equity purchase program eligibility (as applicable) ⢠Competitive medical, dental, and vision insurance ⢠Healthcare and Dependent Care FSA ⢠Company-funded HSA ⢠401(k) with 4% match, vested 100% from day one ⢠Employer-paid short and long-term disability ⢠Life insurance at 1x annual salary ⢠20 days PTO ⢠10 Company Holidays ⢠2 Floating Holidays ⢠Paid new parent leave ⢠Additional benefits to be detailed in offer
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