Revenue Cycle Manager

14 hours ago

Miami, Florida, United States Pinnacle Wound Management Full time
Revenue Cycle Manager – Credentialing & Coding

Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are looking for a Revenue Cycle Manager who thrives in a fast-paced healthcare environment. This role is essential in ensuring our providers are credentialed, compliant, and accurately coded for billing.

If you are detail-oriented, coding-savvy, and passionate about compliance, we want to hear from you


What You'll Do

  • Manage the credentialing and re-credentialing process for physicians and mid-level providers.

  • Maintain and update provider profiles across portals: CAQH, PECOS, NPPES, Availity, Navinet, PaySpan, CMS, and Managed Care Organizations.

  • Oversee payer enrollments, terminations, and demographic updates.

  • Track renewals for DEA licenses, board certifications, and malpractice insurance.

  • Review provider notes and assign accurate billing codes without relying on a superbill.

  • Monitor compliance with CMS, Medicare, Medicaid, and commercial payer requirements.

  • Identify workflow improvements to streamline credentialing and coding.


What We're Looking For

  • 3+ years of credentialing and revenue cycle experience in healthcare.

  • Medical coding experience required; coding certification preferred (CPC, CCS, or equivalent).

  • Ability to read provider notes and accurately code encounters independently.

  • Strong knowledge of Medicare, Medicaid, and commercial payer processes.

  • Familiarity with credentialing systems (CAQH, PECOS, NPPES, etc.).

  • Exceptional organizational skills and attention to detail.

  • Ability to prioritize multiple tasks and meet deadlines.


Why Join Pinnacle?

  • Competitive compensation + benefits package.

  • Growth opportunities in a rapidly expanding healthcare organization.

  • Collaborative, mission-driven team environment.

  • Help shape compliance and coding processes that directly impact patient care.



Benefits
  • 401k
  • 401k matching
  • Competitive pay
  • Medical, dental, and vision insurance
  • Paid time off
  • Free parking
  • No nights, no weekends
  • Monday - Friday, 8 hour shift

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