Revenue Integrity Lead – Clinic & Ancillary Billing

Growth Orthopedics

Coral Gables (FL)

On-site

USD 90,000 - 120,000

Full time

13 days ago

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Job summary

Growth Orthopedics in Coral Gables, FL seeks a Revenue Integrity Manager to lead clinic and ancillary coding and billing operations, ensuring accurate reimbursement and timely billing. You will oversee charge capture, monitor denials, and guide the team and offshore work to maintain high quality and compliance.

The role requires a strong background in CPT/HCPCS/ ICD-10-CM, and supervisory experience, with credentials CPC/CCS/CCS-P preferred.

Qualifications

  • Bachelor's degree or equivalent experience required.
  • 5+ years of professional/clinic coding and billing experience, including ancillary services.
  • 2+ years of supervisory or team-lead experience.
  • Active coding credential (CPC, CCS, or CCS-P) required or preferred.
  • Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and payer guidelines.
  • Experience analyzing denials, charge capture, and productivity/quality metrics.

Responsibilities

  • Oversee daily clinic and ancillary coding and billing workflows.
  • Monitor coding accuracy and completeness.
  • Monitor charge capture and timely billing.
  • Oversee coding and billing for applicable ancillary services, including X-ray, MRI, EMG/NCS, DME, in-office procedures/injections, and casting/splinting.
  • Monitor denials, rejections, and payer trends.
  • Identify missing charges and revenue opportunities.
  • Ensure established clinic/ancillary SOPs are followed.
  • Manage workload, coverage, and priorities.
  • Coach and develop assigned employees.
  • Support daily QA oversight for applicable offshore/SCALE billing work.
  • Escalate significant coding, compliance, payer, or financial concerns.

Skills

Team leadership
Billing oversight
Denials analysis

Education

Bachelor's degree or equivalent
CPC/CCS/CCS-P credential

Tools

CPT/HCPCS/ICD-10-CM knowledge
Payer guidelines

Job description

Growth Orthopedics in Coral Gables, FL seeks a Revenue Integrity Manager to lead clinic and ancillary coding and billing operations, ensuring accurate reimbursement and timely billing. You will oversee charge capture, monitor denials, and guide the team and offshore work to maintain high quality and compliance.

The role requires a strong background in CPT/HCPCS/ ICD-10-CM, and supervisory experience, with credentials CPC/CCS/CCS-P preferred.

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