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Manager, Revenue Cycle Operations

2 hours, 18 minutes ago
United States
Full-time
Lead
Sales Operations
Operations
Apply Now
Imagine Pediatrics

Imagine Pediatrics

Imagine Pediatrics provides virtual healthcare services for children with complex medical conditions, offering a multidisciplinary team of pediatricians, nurses, and therapists who collaborate with existing healthcare providers to ensure comprehensive ...

Health Care Providers & Services
11-50
Founded 2022
View All Jobs 7

Description

  • Lead daily billing and coding operations across multiple markets, payers, service lines, and payment models.
  • Manage, coach, and develop Billing and Coding Supervisors and their teams.
  • Monitor coding queues, worklists, claims, denials, rejections, backlogs, staffing, and capacity.
  • Resolve escalated billing, coding, workflow, staffing, and payer issues in partnership with cross-functional teams.
  • Own Revenue Cycle KPIs, including productivity, quality, turnaround time, backlog, denials, and worklist performance.
  • Use analytics to identify risks and improvement opportunities, establish action plans, and report results to leadership.
  • Maintain and improve Revenue Cycle workflows, SOPs, controls, and operational scalability.
  • Partner with Revenue Integrity, Compliance, Analytics, Credentialing, Clinical Operations, Payer/Partner, Product, and Technology teams.
  • Support workforce planning, hiring, onboarding, training, and leadership development.
  • Prepare Revenue Cycle operations for new markets, payers, programs, workflows, and audit requirements.

Requirements

  • 7+ years of progressive Revenue Cycle experience, including substantial coding and billing operations experience.
  • 3+ years of direct people leadership experience managing supervisors or frontline leaders.
  • Certified Professional Coder certification through AAPC or AHIMA required.
  • CPPM, CPCO, or CHFP certification preferred.
  • Strong knowledge of CPT, ICD-10-CM, HCPCS, documentation requirements, payer edits, and coding compliance.
  • Experience managing coding productivity, quality, turnaround time, backlogs, and denials.
  • Ability to evaluate operational issues, interpret quality findings, and determine when to escalate to Revenue Integrity or Compliance.
  • Demonstrated ability to coach, hold accountable, and develop frontline leaders and high performers.
  • Strong communication and relationship-management skills across clinical, operational, technical, and compliance teams.
  • Experience with Athenahealth or a comparable EHR/practice management platform preferred; pediatric, value-based, or high-growth experience is a plus.

Benefits

  • Base salary of $100,000–$130,000 plus annual bonus incentive.
  • Competitive medical, dental, and vision insurance.
  • Healthcare and dependent care FSAs, plus a company-funded HSA.
  • 401(k) with a 4% match and immediate 100% vesting.
  • Employer-paid short- and long-term disability insurance and life insurance equal to 1x annual salary.
  • 20 days of PTO, 10 company holidays, and 2 floating holidays.
  • Paid new parent leave.
  • Eligibility for an employee equity purchase program.

Interested in this position?

Apply directly on the company website

Apply Now

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