Oncology Revenue Cycle Lead – Denials & Optimization

aa067; Duarte (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

City of Hope is seeking a Program Manager to lead Oncology Care Coordination initiatives, focusing on documentation, billing, and auditing processes across multiple services.

The role requires developing standardized workflows, monitoring performance metrics, and driving system-wide improvements in revenue capture while collaborating with clinical, operational, IT, and revenue cycle teams.

Qualifications

• Bachelor's Degree in Business, Healthcare Administration, or related field; 3 additional years of experience may substitute for minimum education.
• Minimum of five (5) years of experience in the healthcare industry
• At least three (3) years of experience in professional billing
• Strong knowledge of coding systems including CPT-4, HCPCS, and ICD-10
• AAPC and/or CPC certification preferred
• Demonstrated ability to lead cross-functional initiatives and drive process improvements

Responsibilities

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

Skills

Healthcare billing

Cross-functional leadership

Project management

Data analysis

Revenue cycle

Education

Bachelor’s Degree in Business/Healthcare Administration or related field

Tools

EMR systems

Job description

City of Hope is seeking a Program Manager to lead Oncology Care Coordination initiatives, focusing on documentation, billing, and auditing processes across multiple services.

The role requires developing standardized workflows, monitoring performance metrics, and driving system-wide improvements in revenue capture while collaborating with clinical, operational, IT, and revenue cycle teams.