Manager, Revenue Cycle Operations

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $100k - $130k / year

⏰ Full Time

🟠 Senior

🔴 Lead

💹 Revenue Operations

👻 Ghost score 0%

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Imagine Pediatrics

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🧘 Wellness

👥 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.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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