RCM Account Manager

Cardiovascular Centers of America; Orlando (FL); Remote; USD 75,000 - 90,000; Full time

Job summary

A leading healthcare organization seeks an RCM Account Manager to oversee revenue cycle management for cardiovascular services. The role requires expertise in coding, billing, and claims management, ensuring compliance and timely reimbursement. Candidates should possess strong analytical skills and relevant certifications, contributing to the improvement of collections and regulatory compliance in a remote work environment.

Benefits

401(k)

401(k) matching

Health insurance

Vision insurance

Qualifications

• 3+ years of experience in ASC or specialty medical billing, preferably in cardiology.
• Strong working knowledge of CMS ASC payment system and cardiovascular CPT codes.
• High level of professionalism and attention to detail.

Responsibilities

• Manage all aspects of the revenue cycle for cardiovascular-focused Ambulatory Surgery Center.
• Submit clean claims to Medicare and commercial payers.
• Ensure compliance with AAAHC and Medicare billing regulations.

Skills

Medical coding

Billing

Claims management

Payment posting

Collections

Analytical skills

Communication

Organizational skills

Education

CPC or CCS-P certification

Tools

RCM software

Job description

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Direct message the job poster from Cardiovascular Centers of America

Chief Executive Officer at Cardiovascular Centers of America

Job Title: RCM Account Manager – Cardiovascular Services

Location: Remote

Reports To:Director of Revenue Cycle

Employment Type:Full-Time

Position Summary

The RCM Account Manager is responsible for managing all aspects of the revenue cycle for a cardiovascular-focused Ambulatory Surgery Center (ASC), includingmedical coding, billing, claims management, payment posting, and collections. This role ensures compliant, timely, and accurate reimbursement for cardiology and peripheral vascular procedures while providing high-touch service to internal stakeholders and physician partners.

Key Responsibilities

Coding & Charge Capture

• Accurately code cardiovascular procedures (e.g., peripheral interventions, pacemakers, stents) using CPT, HCPCS, and ICD-10 guidelines.
• Ensure documentation compliance with CMS and payer-specific policies.
• Stay current with cardiology-specific coding updates and NCCI edits.
• Submit clean claims to Medicare, commercial payers, and third-party administrators.
• Review and correct claim edits and denials related to cardiovascular services.
• Ensure timely billing of high-volume cases and effective charge lag management.

Collections & Payment Reconciliation

• Monitor accounts receivable (AR) with a focus on early intervention for unpaid cardiovascular claims.
• Post payments and contractual adjustments accurately.
• Communicate proactively with payers to resolve underpayments or denials.

Reporting & Analysis

• Track performance KPIs (days in AR, denial rates, net collections) specific to cardiovascular services.
• Provide regular revenue cycle updates to ASC leadership and physician partners.
• Identify trends in payer behavior, denials, or coding issues and recommend corrective action.

Compliance & Process Improvement

• Ensure compliance with AAAHC, Medicare, and commercial billing regulations.
• Participate in internal audits and implement corrective actions as needed.
• Contribute to SOP development for ASC cardiovascular billing best practices.

Qualifications

• 3+ years of experience in ASC or specialty medical billing (preferably in cardiology).
• CPC or CCS-P certification strongly preferred.
• Strong working knowledge of CMS ASC payment system and cardiovascular CPT codes (e.g., 92960, 93656, 33208).
• Experience with RCM software (e.g., Waystar, Surgical Information Systems (SIS), or equivalent).
• Excellent analytical, communication, and organizational skills.
• High level of professionalism and attention to detail.

Preferred Attributes

• Experience working with physician-owned or joint-venture ASCs.
• Familiarity with Medicare Local Coverage Determinations (LCDs) for cardiology.
• Track record of improving collections and reducing AR in a cardiovascular setting.

Job Type: Full-time

• 401(k)
• 401(k) matching
• Health insurance
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Remote

https://www.indeed.com/viewjob?jk=f1d82e4eece74a4b&from=shareddesktop_copy

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Sales and Business Development

• Industries

  Hospitals and Health Care

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