Operations Executive - Remote Working

Imagine Pediatrics; Austin (TX); A distancia; USD 100.000 - 130.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Disability insurance

Life insurance

PTO and holidays

Employee equity purchase program

Descripción de la vacante

Imagine Pediatrics, a tech-enabled pediatric medical group, seeks a Manager, Revenue Cycle Operations to lead billing and coding teams across markets, ensuring high quality, timely processing and compliance. The role partners with Revenue Integrity, Analytics, Compliance and Credentialing, driving improvements and people leadership as the company scales.

The position requires 3+ years in people leadership and strong CPT/ICD-10-CM/HCPCS knowledge, with experience in Athenahealth or similar

Formación

• 3+ years of direct people leadership experience.
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, payer edits, and coding compliance principles.
• Experience with managing coding operations: productivity, quality, turnaround time, denials.
• Strong communication and relationship-management across clinical, operational, technical and compliance teams.
• Experience with an EHR/practice management platform preferred (Athenahealth).

Responsabilidades

• Lead day-to-day billing and coding operations across markets, payers, service lines, and payment models.
• Monitor coding queues, billing worklists, claim submissions, denials, and backlog; plan staffing for service levels.
• Escalate complex issues and coordinate cross-functional resolution with Revenue Integrity, Compliance and other teams.
• Coach and develop Billing and Coding Supervisors and teams with clear performance expectations.
• Establish regular management cadence and translate goals into KPIs and execution plans.

Conocimientos

People leadership

Coding knowledge

CPT/ICD-10-CM/HCPCS

EHR platform (Athenahealth)

Communication

Cross-functional collaboration

Herramientas

Athenahealth

Descripción del empleo

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

The Manager, Revenue Cycle Operations leads the day-to-day performance of Imagine Pediatrics’ billing and coding operations, overseeing Billing and Coding Supervisors and the broader coding and billing team to ensure consistent quality, productivity, timeliness, and compliance.

This is a hands-on people and operations role for an experienced Revenue Cycle leader with strong coding and billing expertise — someone who can coach frontline leaders, resolve complex operational issues, and partner across Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, and Payer/Partner teams as the company scales.

Revenue Cycle Operations & Leadership

• Lead day-to-day billing and coding operations across multiple markets, payers, service lines, and payment models, with direct management oversight of Billing and Coding Supervisors
• Monitor coding queues, billing worklists, claim submission, denials, rejections, and operational backlogs; maintain staffing and capacity planning to meet service levels
• Serve as a credible technical resource — applying strong knowledge of CPT, ICD-10-CM, HCPCS, payer edits, and coding compliance — to evaluate complex operational issues
• Serve as the escalation point for complex billing, coding, workflow, staffing, and payer-related issues that exceed supervisor-level resolution, and coordinate cross-functional resolution of issues blocking claims
• Partner with Revenue Integrity and Compliance on advanced auditing, policy interpretation, or integrity investigations
• Lead, coach, and develop Billing and Coding Supervisors and their teams, establishing clear expectations for performance, accountability, and growth
• Build supervisory leadership capability through coaching in people management, prioritization, delegation, and problem-solving
• Establish a consistent management cadence (huddles, one-on-ones, performance reviews) and translate department goals into clear KPIs and execution plans
• Identify performance gaps early and implement coaching, development plans, or corrective actions; Support workforce planning, hiring, onboarding, and training as operations scale
• Foster a culture of shared accountability, collaboration, and continuous improvement

Performance Management & Process Improvement

• Own and monitor operational Revenue Cycle KPIs — coding productivity and quality, turnaround time, backlog, denials, and worklist performance
• Use data and Analytics partnership to identify risks, capacity constraints, and improvement opportunities; Monitor whether corrective actions produce sustained improvement, and report performance, risks, and action plans to Revenue Cycle leadership

Cross-Functional Partnership

This role partners closely with Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, Payer/Partner teams, and Product/Technology to resolve issues, implement changes, and drive results — while maintaining clear ownership of Revenue Cycle execution.

Substantial coding and billing operations experience required

• 3+ years of direct people leadership experience, including managing supervisors or other frontline leaders
• Demonstrated ability to manage coding operations — productivity, quality, turnaround time, backlog, and denials
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, documentation requirements, payer edits, and coding compliance principles
• Ability to evaluate operational issues, interpret QA findings, and determine when escalation to Revenue Integrity or Compliance is needed
• Strong communication and relationship-management skills across clinical, operational, technical, and compliance teams
• Experience with Athenahealth or a comparable EHR/practice management platform strongly preferred

Benefits

The role offers a base salary range of $100,000 - $130,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). Competitive medical, dental, and vision insurance

• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Children First.

Company Commitment

We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.