Senior Manager, Revenue Cycle Management, Provider Operations

Talenthop; United States; On-site; USD 122,000 - 160,000; Full time

Benefits offered by this job

Medical insurance

Unlimited vacation

Annual performance bonuses

Paid maternity leave

Paid paternity leave

Job summary

TalentHop is seeking a Senior Manager, Revenue Cycle Management, Provider Operations to lead revenue cycle functions, ensure accurate coding and compliant billing, and drive timely reimbursement. This role focuses on optimizing financial performance, mitigating risks, and enabling growth through data-driven decisions and cross-functional leadership.

The position requires advanced knowledge of CPT/ICD-10-CM/HCPCS, 7+ years in revenue cycle, and 3+ years of leadership experience across clinical,

Qualifications

• Minimum 7 years in healthcare revenue cycle, billing, coding, or related operations.
• At least 3 years leading revenue cycle programs or teams with accountability.
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, and payer rules.
• Experience with clinical documentation integrity and provider review processes.

Responsibilities

• Lead strategy and performance for revenue cycle functions including billing, coding, claims management, denials, eligibility, and documentation workflows.
• Serve as the subject matter expert in professional billing and coding standards and payer requirements.
• Establish and monitor KPIs and controls to improve claims processing, coding accuracy, reimbursement, and denial rates.
• Collaborate with clinical leadership to enhance diagnosis capture accuracy.
• Develop scalable policies, workflows, governance, and vendor oversight for multi-state operations.

Skills

Revenue cycle management

Leadership

Data analysis

Cross-functional collaboration

Regulatory compliance

Job description

About the Opportunity:

The SENIOR MANAGER, REVENUE CYCLE MANAGEMENT, PROVIDER OPERATIONS leads the revenue cycle operations to ensure accurate coding, compliant billing, and timely reimbursement. This role is pivotal in optimizing financial performance and mitigating risks by developing scalable strategies and collaborating with multiple departments. The position drives improvements in revenue capture and supports the organization’s growth through data-driven decision making and operational leadership.

Responsibilities:

• Lead strategy and performance for revenue cycle functions including billing, coding, claims management, denials, eligibility, and documentation workflows.
• Serve as the subject matter expert in professional billing and coding standards and payer requirements.
• Establish and monitor KPIs and controls to improve claims processing, coding accuracy, reimbursement, and denial rates.
• Implement coding and documentation integrity programs, including provider education and review processes.
• Develop and execute denial prevention and resolution strategies.
• Collaborate with clinical leadership to enhance diagnosis capture accuracy.
• Assess payer‑specific policies and integrate requirements into operational processes.
• Partner cross‑functionally to address complex revenue cycle challenges and support new initiatives.
• Develop scalable policies, workflows, governance, and vendor oversight for multi‑state operations.
• Advise leadership on financial performance, risks, and strategic opportunities.
• Ensure compliance with applicable regulations.
• Perform additional duties as assigned.

Requirements:

• Minimum 7 years of experience in healthcare revenue cycle, billing, coding, or related operations.
• At least 3 years leading revenue cycle programs or teams with operational or financial accountability.
• Advanced knowledge of billing and coding systems, including CPT, ICD-10-CM, HCPCS, and payer rules.
• Proven ability to develop strategies that improve coding accuracy and financial outcomes.
• Experience with clinical documentation integrity and provider review processes.
• Strong analytical skills for revenue cycle data and root‑cause analysis.
• Experience managing cross‑functional initiatives involving clinical, operational, finance, and compliance teams.

Pay Range and Compensation Package:

• Base pay range: $122,212 to $160,404 per year.
• Eligibility for employee benefits, unlimited vacation program, and annual performance bonuses.
• Medical insurance
• Paid maternity leave
• Paid paternity leave

Equal Opportunity Statement:

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.