Manager, Revenue Cycle Operations (Healthcare)

TL;DR

Manager, Revenue Cycle Operations (Healthcare): Managing end-to-end billing and coding operations for a tech-enabled medical group with an accent on clean claim performance and operational efficiency. Focus on optimizing RCM KPIs, leading cross-functional initiatives for market expansion, and ensuring compliance with CMS and payer standards.

Location: Remote, USA

Salary: $100,000 - $130,000

Company

hirify.global is a tech-enabled, pediatrician-led medical group providing 24/7 virtual and in-home care for children with special healthcare needs.

What you will do

• Lead end-to-end billing and coding operations across fee-for-service, capitation, and hybrid payment models.
• Monitor daily claims workflows and denials to ensure clean, compliant submissions across all states and payers.
• Track core RCM KPIs and partner with analytics to develop real-time decision-making dashboards.
• Directly manage a hybrid team of billing specialists and coders, including offshore or vendor-supported teams.
• Optimize EHR (Athenahealth) and automation tools to reduce manual interventions and improve claim scrubber rules.
• Ensure organizational compliance with CMS, OIG, and payer audit standards, maintaining audit-ready documentation.

Requirements

• Must be based in the USA.
• 8+ years of progressive revenue cycle experience, with 5+ years in leadership or strategic operations.
• Certified Professional Coder (AAPC or AHIMA) required.
• Advanced expertise in Athenahealth or a similar enterprise EHR.
• Hands-on experience with capitated and value-based payment models and encounter reconciliation.
• Proficiency in Excel, Tableau, and claims analytics tools.

Nice to have

• Lean Six Sigma, PMP, or other process optimization background.
• Working knowledge of pediatric, primary care, or behavioral health coding standards.
• Additional certifications such as CPPM, CPCO, or CHFP.

Culture & Benefits

• Competitive medical, dental, and vision insurance with company-funded HSA.
• 401(k) with 4% match, vested 100% from day one.
• 20 days PTO, 10 Company Holidays, and 2 Floating Holidays.
• Employer-paid short and long-term disability and life insurance.
• Eligibility to participate in an employee equity purchase program.
• Paid new parent leave.