Revenue Cycle Manager

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

Description - External

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary

The Program Manager will lead the strategic development and implementation of key initiatives supporting Oncology Care Coordination. This role provides program-level oversight of processes related to the review and auditing of documentation, charges, claims, and denials across services such as Principal Illness Navigation, Chronic Care Management, Health Assessments, Social Determinants of Health, and Advance Care Planning. You will design standardized workflows, establish performance metrics, and drive system-wide tracking and reporting to ensure accurate and comprehensive revenue capture. This highly collaborative role partners across clinical, operational, IT, and revenue cycle teams to optimize documentation, billing, and program effectiveness while aligning with organizational priorities.

As a successful candidate, you will:

• 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

Your qualifications should include:

• Bachelor’s Degree in Business, Healthcare Administration, or other relevant area of study; 3 additional years of experience plus the minimum experience requirement 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

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.