Oncology Revenue Cycle Lead – Care Coordination

City of Hope; Duarte (CA); On-site; USD 110,000 - 160,000; Full time

Job summary

City of Hope is seeking a Program Manager to guide Oncology Care Coordination initiatives, focusing on documentation, billing, and audit processes. You will analyze denials, design standardized workflows, and drive system-wide improvements with clinical, operational, IT, and revenue cycle teams.

The role requires leading cross-functional efforts, tracking performance metrics, and ensuring accurate revenue capture while aligning with organizational priorities at City of Hope.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field; 3 additional years may substitute for minimum education.
• Minimum of five years in the healthcare industry.
• At least three years in professional billing.
• Strong knowledge of CPT-4, HCPCS, and ICD-10 coding systems.
• AAPC/CPC certification preferred.
• Demonstrated ability to lead cross-functional initiatives and drive process improvements.

Responsibilities

• Lead strategic development and implementation of documentation, billing, and audit processes.
• Analyze denials and reimbursement trends to identify payor patterns and optimization opportunities.
• Design standardized workflows to ensure accurate revenue capture.
• Establish and monitor key performance metrics to drive program success.
• Identify gaps in documentation, billing processes, or EMR functionality and lead enhancements.
• Develop tools and training to improve documentation quality and billing accuracy.
• Build cross-functional relationships to advance Oncology Care Coordination initiatives.
• Represent revenue optimization efforts in system-wide committees and planning forums.
• Lead project management, ensuring timelines and milestones are met.
• Oversee implementation of new processes and evaluate outcomes against goals.

Skills

Billing expertise

Healthcare analytics

Process improvement

Cross-functional collaboration

Education

Bachelor’s Degree in Business or Healthcare Administration

Job description

City of Hope is seeking a Program Manager to guide Oncology Care Coordination initiatives, focusing on documentation, billing, and audit processes. You will analyze denials, design standardized workflows, and drive system-wide improvements with clinical, operational, IT, and revenue cycle teams.

The role requires leading cross-functional efforts, tracking performance metrics, and ensuring accurate revenue capture while aligning with organizational priorities at City of Hope.