Revenue Cycle Manager

About the role

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.

Responsibilities

• 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.
• 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.
• 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.

Requirements

• 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.

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.