Clinic/Ancillary Services Revenue Integrity Manager

Growth Orthopedics•Coral Gables, FL

13d

About The Position

The Clinic/Ancillary Services Revenue Integrity Manager leads the day-to-day work of the clinic and ancillary revenue team. The role oversees coding and billing, charge capture, and denial trends to support accurate, complete, and timely reimbursement. It also manages team workload, coverage, priorities, and employee development, and supports quality oversight of applicable offshore/SCALE billing work.

Requirements

Bachelor's degree in healthcare administration, business, or a related field, or equivalent experience.
At least 5 years of professional or clinic coding and billing experience, including ancillary services such as imaging, DME, and in-office procedures.
At least 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 and quality metrics.

Nice To Haves

Experience overseeing offshore or vendor billing work.

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 and injections, and casting and splinting.
Monitor denials, rejections, and payer trends.
Identify missing charges and revenue opportunities.
Ensure established clinic and 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.
Monitor success through coding accuracy, charge-capture completeness, billing turnaround, reductions in preventable denials and rejections, employee productivity and quality, reductions in repeat errors, and identification of missed revenue opportunities.