Revenue Cycle Manager

Revenue Cycle Manager

The Revenue Cycle Manager provides strategic and operational leadership for the Billing, Coding, and Pre-Billing departments. This position is responsible for developing, implementing, and maintaining revenue cycle policies, procedures, and best practices that support organizational goals, regulatory compliance, operational efficiency, and financial performance. The Revenue Cycle Manager is expected to uphold the organization's mission, values, and strategic priorities while fostering a culture of accountability, continuous improvement, and exceptional customer service.

Department Leadership

• Provide leadership and oversight for the Billing, Coding, and Pre-Billing departments.
• Recruit, interview, hire, onboard, train, coach, and develop staff.
• Conduct performance evaluations and provide ongoing feedback and recognition.
• Manage employee performance, disciplinary actions, and terminations in accordance with company policy.
• Oversee department staffing, workflow, and resource allocation to ensure timely and efficient operations.
• Foster a collaborative, high-performing team environment focused on accountability and customer service.

Compliance & Process Improvement

• Develop, implement, and maintain revenue cycle policies, procedures, and best practices.
• Ensure compliance with federal, state, payer, and HIPAA regulations.
• Lead continuous improvement initiatives using Lean or similar methodologies to improve operational efficiency and workflow.
• Identify opportunities to improve revenue integrity, reimbursement, and process effectiveness.
• Maintain a department that is audit-and inspection-ready.

Financial & Administrative Responsibilities

• Develop, manage, and adhere to departmental budgets.
• Support organizational strategic initiatives and revenue cycle goals.
• Analyze operational and financial performance metrics and recommend process improvements.
• Communicate departmental updates, performance trends, and improvement initiatives to senior leadership.
• Perform other related duties as assigned.

Required Knowledge, Skills, & Abilities

• Strong knowledge of healthcare revenue cycle operations, including billing, coding, reimbursement, patient collections, accounts receivable, and cash application.
• Proficient knowledge of medical terminology, CPT, ICD-10, and healthcare reimbursement principles.
• Broad knowledge of commercial payer requirements, government regulations, and HIPAA compliance.
• Demonstrated experience working with third-party payers to resolve claim, reimbursement, and appeals issues.
• Experience leading workflow optimization and continuous process improvement initiatives.
• Strong analytical, organizational, and problem-solving skills with the ability to make sound decisions.
• Excellent leadership, interpersonal, written, and verbal communication skills.
• Proficiency with Microsoft Office, including Excel, Word, and Teams.
• Ability to prioritize competing responsibilities and lead effectively in a fast-paced environment.

Minimum Qualifications

• Bachelor's degree in Healthcare Administration, Business, Accounting, or a related field, or an equivalent combination of education and experience.
• Three or more years of progressive revenue cycle or healthcare business office experience.
• Three or more years of leadership experience managing revenue cycle teams.
• Medical Coding Certification (AAPC, AHIMA, or equivalent).
• Three or more years of supervisory and management experience leading coding or revenue cycle teams.
• Strong computer and keyboarding skills, including Microsoft Office and 10-key proficiency.

Preferred Qualifications

• Master's degree preferred.
• Experience with Meditech, Epic, PowerPath, GPMS (Groupcast), or similar healthcare systems.
• Experience with 3M coding software.
• Active AAPC membership or advanced coding certification.
• Additional experience in pathology coding and revenue cycle operations.

Mental/Physical Requirements: Daily activity is 90% sitting and 10% walking or standing. Work Environment: Work is in a well-lighted office environment Frequent exposure to CRT (computer monitors, repetitive motions and light lifting. (<20lbs)

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Day Shift