Revenue Cycle Supervisor

About the Job

Position Title: Revenue Cycle Supervisor (Exempt)

Department: Patient Accounts

Position Summary: The Revenue Cycle Supervisor is responsible for overseeing daily operations across key revenue cycle functions, including billing, collections, charge capture, and denial management for an orthopedic outpatient environment. This role ensures optimal financial performance, regulatory compliance, and operational efficiency while supporting Epic Professional Billing (PB) workflows.

The ideal candidate brings strong leadership experience, deep knowledge of Epic PB, and working expertise in orthopedic outpatient revenue cycle operations, including coding fundamentals and revenue integrity practices.

Duties and Responsibilities:

Operational Leadership:

• Supervise and lead revenue cycle staff (billing, follow-up, and support functions).
• Monitor daily productivity, quality, and KPIs (AR days, denial rates, cash collections).
• Ensure timely and accurate claim submission, follow-up, and resolution.
• Manage work queues (WQs), claim edits, and workflow optimization within Epic PB.
• Revenue Integrity & Coding Oversight.
• Partner with coding and clinical teams to ensure accurate charge capture and documentation.
• Maintain working knowledge of orthopedic outpatient coding (CPT, modifiers, basic ICD-10).
• Identify revenue leakage and implement corrective actions (missed charges, underpayments).
• Support audits, compliance reviews, and payer trends analysis.
• Denials & AR Management.
• Oversee denial management processes, including root cause analysis and prevention strategies.
• Track and trend denial patterns (authorization, coding, medical necessity, eligibility).
• Drive AR resolution and escalation strategies for aged accounts.
• Epic System Optimization.
• Utilize Epic PB tools including work queues, claim edits, reporting, and dashboards.
• Collaborate with analysts on system enhancements, reporting, and automation.
• Assist in redesigning workflows to improve efficiency and reduce manual work.
• Communication & Stakeholder Collaboration.
• Serve as liaison between revenue cycle, clinical operations, coding, and leadership.
• Communicate performance results, issues, and improvement plans effectively.
• Lead team huddles, training sessions, and performance coaching.

Key Performance Indicators and Standards:

• AR Days within target range.
• Denial rate reduction and prevention.
• Cash collections vs. goal.
• Productivity and quality metrics for staff.
• Charge lag and clean claim rate improvement.

Professional & Personal Development:

• Participates in on-going system training as assigned by Revenue Cycle Director.
• Keep current of industry changes.

Service:

• Excellent interpersonal, communication and customer service skills.
• Teamwork.
• Ownership/Accountability.
• Continuous Performance Improvement.

Qualifications:

• Epic Professional Billing (PB) experience - REQUIRED.
• Orthopedic outpatient (OP) revenue cycle experience - REQUIRED.
• 3+ years of supervisory or management experience in revenue cycle.
• Working knowledge of:
• Outpatient coding (CPT, modifiers, ICD-10 basics).
• Revenue integrity principles.
• Denial management and AR follow-up.
• Strong understanding of end-to-end revenue cycle workflows.
• Excellent verbal and written communication skills.

Preferred Qualifications:

• Experience in high-volume outpatient orthopedic or specialty clinic environments.
• Familiarity with DME, implants, and "by report" billing scenarios.
• Experience with managed care (Medicaid, Medicare, Commercial payer workflows).
• Knowledge of Epic reporting tools (Work queues, Reporting Workbench, dashboards).
• Bachelor's degree in healthcare administration, Business, or related field.

Physical Requirements:

• Intermittent (25-35% of the time) walking, standing, bending, sitting and verbally communicating with patients and other OIC healthcare team members.
• Requires normal range of vision.
• Requires infrequent lifting up to 25 pounds.
• Requires prolonged standing or sitting.

Work Environment:

• Work is performed indoors in a heated, air conditioned, well lighted and clean office setting.