Clinic/Ancillary Services Revenue Integrity Manager

Growth Orthopedics; Coral Gables (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

Growth Orthopedics in Coral Gables, FL seeks a Revenue Integrity Manager to lead clinic and ancillary coding and billing operations, ensuring accurate reimbursement and timely billing. You will oversee charge capture, monitor denials, and guide the team and offshore work to maintain high quality and compliance.

The role requires a strong background in CPT/HCPCS/ ICD-10-CM, and supervisory experience, with credentials CPC/CCS/CCS-P preferred.

Qualifications

• Bachelor's degree or equivalent experience required.
• 5+ years of professional/clinic coding and billing experience, including ancillary services.
• 2+ years of supervisory or team-lead experience.
• Active coding credential (CPC, CCS, or CCS-P) required or preferred.
• Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and payer guidelines.
• Experience analyzing denials, charge capture, and productivity/quality metrics.

Responsibilities

• Oversee daily clinic and ancillary coding and billing workflows.
• Monitor coding accuracy and completeness.
• Monitor charge capture and timely billing.
• Oversee coding and billing for applicable ancillary services, including X-ray, MRI, EMG/NCS, DME, in-office procedures/injections, and casting/splinting.
• Monitor denials, rejections, and payer trends.
• Identify missing charges and revenue opportunities.
• Ensure established clinic/ancillary SOPs are followed.
• Manage workload, coverage, and priorities.
• Coach and develop assigned employees.
• Support daily QA oversight for applicable offshore/SCALE billing work.
• Escalate significant coding, compliance, payer, or financial concerns.

Skills

Team leadership

Billing oversight

Denials analysis

Education

Bachelor's degree or equivalent

CPC/CCS/CCS-P credential

Tools

CPT/HCPCS/ICD-10-CM knowledge

Payer guidelines

Job description

Job Details: Job Location: XQ82 Legal Address - Growth Ortho - Coral Gables, FL 33146, Clinic/Ancillary Services Revenue Integrity Manager | Growth Orthopedics

The Clinic/Ancillary Services Revenue Integrity Manager leads the day-to-day work of the clinic and ancillary revenue team, overseeing coding and billing, charge capture, and denial trends to ensure accurate, complete, and timely reimbursement.

Key Responsibilities

• Oversee daily clinic and ancillary coding and billing workflows.
• Monitor coding accuracy and completeness.
• Monitor charge capture and timely billing.
• Oversee coding and billing for applicable ancillary services, including X-ray, MRI, EMG/NCS, DME, in-office procedures/injections, and casting/splinting.
• Monitor denials, rejections, and payer trends.
• Identify missing charges and revenue opportunities.
• Ensure established clinic/ancillary SOPs are followed.
• Manage workload, coverage, and priorities.
• Coach and develop assigned employees.
• Support daily QA oversight for applicable offshore/SCALE billing work.
• Escalate significant coding, compliance, payer, or financial concerns.

How Success is Measured

• Coding accuracy
• Charge-capture completness
• Billing turnaround
• Reduction in preventable denials/rejections
• Employee productivity and quality
• Reduction in repeat errors
• Identification of missed revenue opportunities

Qualifications

• Bachelor's degree in healthcare administration, business, or a related field, or equivalent experience
• 5+ years of professional/clinic coding and billing experience, including ancillary services (imaging, DME, in-office procedures)
• 2+ years of supervisory or team-lead experience
• Active coding credential (CPC, CCS, or CCS-P) required or preferred
• Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and payer guidelines
• Experience analyzing denials, charge capture, and productivity/quality metrics
• Experience overseeing offshore or vendor billing work a plus