2 дня назад
Senior Manager, Revenue Cycle Management, Provider Operations (Healthcare)
135 792 - 178 227$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Manager, Revenue Cycle Management, Provider Operations (Healthcare): Leading and optimizing scalable revenue cycle operations for a multi-state medical group with an accent on professional billing, coding, claims performance, documentation integrity, and reimbursement. Focus on analyzing root causes, preventing denials, establishing operational controls, and guiding cross-functional strategies that improve financial performance and compliance.
Location: New York City, NY, United States; hybrid schedule with three days per week in the office, including Thursdays for team meetings and events.
Salary: $135,792–$178,227 per year, plus annual performance bonuses and employee benefits.
Company
is a health insurance company built around a full-stack technology platform and focused on improving the member healthcare experience.
What you will do
- Own the strategy and performance of the medical group's revenue cycle function, including professional billing, coding, claims, denials, eligibility, and documentation workflows.
- Serve as the senior subject matter expert for CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, and payer requirements.
- Establish KPIs, controls, reporting, and root-cause analysis practices to improve clean claims, coding accuracy, reimbursement, and financial performance.
- Lead coding, clinical documentation integrity, provider education, pre- and post-bill reviews, and denial prevention and resolution.
- Develop scalable policies, workflows, governance, and vendor oversight for a growing multi-state provider organization.
- Partner with clinical operations, finance, compliance, credentialing, product, and technology teams and advise leadership on risks and opportunities.
Requirements
- 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 or financial accountability.
- Advanced knowledge of professional billing and coding, claims management, denial management, documentation integrity, and payer requirements.
- Experience developing revenue cycle strategies that improve coding accuracy, claims performance, reimbursement, and financial outcomes.
- Ability to analyze complex revenue cycle data, identify root causes, and translate findings into actionable strategies.
- Strong executive communication and cross-functional leadership skills.
Nice to have
- CPC, CCS, CCS-P, CPMA, or comparable coding or revenue cycle certification.
- Experience leading coding professionals or certified coders.
- Experience in a multi-state medical group, telehealth organization, or complex healthcare delivery environment.
- Experience across provider and payer environments, risk-adjustment coding, credentialing, payer enrollment, or external revenue cycle vendors.
Culture & Benefits
- Full-time employee benefits include medical, dental, and vision coverage.
- 11 paid holidays, paid sick time, paid parental leave, and unlimited vacation.
- 401(k) participation, life and disability insurance, paid wellness time, and reimbursements.
- Equal opportunity environment focused on belonging, authenticity, and support.
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