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Salary: USD 100,000 - 130,000 / annual
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group delivering 24/7 virtual-first and in-home medical, behavioral, and social care for children with special healthcare needs. The company works alongside families, providers, and health plans to break down barriers to quality care.
The Manager, Revenue Cycle Operations leads day-to-day billing and coding operations across multiple markets, payers, service lines, and payment models. This is a hands-on people and operations role that combines technical expertise with team leadership.
**Key Responsibilities:**
Revenue Cycle Operations & Leadership:
- Lead day-to-day billing and coding operations 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; coordinate cross-functional resolution of issues blocking claims
- Partner with Revenue Integrity and Compliance on advanced auditing, policy interpretation, and integrity investigations
- Ensure operational controls and follow-through as new workflows, payer requirements, or audit findings are introduced
Team Leadership & Development:
- 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
- Conduct performance reviews, provide feedback, and support career development
- Identify and address staffing gaps and training needs
Cross-Functional Collaboration:
- Partner across Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, and Payer/Partner teams as the company scales
- Communicate operational performance and challenges to leadership
- Support process improvement and operational efficiency initiatives
**Requirements:**
- 7+ years of healthcare revenue cycle management experience, with at least 3 years in a supervisory or management role
- Deep expertise in medical billing, coding (CPT, ICD-10-CM, HCPCS), payer requirements, and claims processing
- Proven track record leading and developing teams in high-volume, complex billing environments
- Strong knowledge of healthcare compliance, audit requirements, and operational controls
- Experience with revenue cycle systems and analytics tools
- Excellent communication, problem-solving, and cross-functional collaboration skills
- Experience in pediatric, value-based, or high-growth environments is a plus
