Manager, Revenue Cycle Operations

Imagine Pediatrics•United States (Remote), TX

7h•$100,000 - $130,000•Remote

About The Position

The Manager, Revenue Cycle Operations leads the day-to-day performance of Imagine Pediatrics’ billing and coding operations, overseeing Billing and Coding Supervisors and the broader coding and billing team to ensure consistent quality, productivity, timeliness, and compliance. This is a hands-on people and operations role for an experienced Revenue Cycle leader with strong coding and billing expertise — someone who can coach frontline leaders, resolve complex operational issues, and partner across Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, and Payer/Partner teams as the company scales.

Requirements

7+ years of progressive Revenue Cycle experience
Substantial coding and billing operations experience required
3+ years of direct people leadership experience, including managing supervisors or other frontline leaders
Certified Professional Coder (AAPC or AHIMA) required
Strong working knowledge of CPT, ICD-10-CM, HCPCS, documentation requirements, payer edits, and coding compliance principles
Ability to evaluate operational issues, interpret QA findings, and determine when escalation to Revenue Integrity or Compliance is needed
Demonstrated ability to coach, hold accountability, and develop frontline leaders and high performers
Proven ability to lead through others and build team capability across multiple payers, markets, and service lines
Strong communication and relationship-management skills across clinical, operational, technical, and compliance teams

Nice To Haves

CPPM, CPCO, or CHFP preferred
Experience with Athenahealth or a comparable EHR/practice management platform strongly preferred
Experience in pediatric, value-based, or high-growth environments is a plus

Responsibilities

Lead day-to-day billing and coding operations across multiple markets, payers, service lines, and payment models, 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, and coordinate cross-functional resolution of issues blocking claims
Partner with Revenue Integrity and Compliance on advanced auditing, policy interpretation, or integrity investigations
Ensure operational controls and follow-through as new workflows, payer requirements, or audit findings are introduced
Perform other duties as assigned
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
Establish a consistent management cadence (huddles, one-on-ones, performance reviews) and translate department goals into clear KPIs and execution plans
Identify performance gaps early and implement coaching, development plans, or corrective actions; develop high performers and succession readiness
Support workforce planning, hiring, onboarding, and training as operations scale
Foster a culture of shared accountability, collaboration, and continuous improvement
Own and monitor operational Revenue Cycle KPIs — coding productivity and quality, turnaround time, backlog, denials, and worklist performance
Use data and Analytics partnership to identify risks, capacity constraints, and improvement opportunities; establish action plans with clear owners and timelines
Monitor whether corrective actions produce sustained improvement, and report performance, risks, and action plans to Revenue Cycle leadership
Maintain and improve Revenue Cycle workflows, SOPs, and controls; lead practical improvements that increase efficiency and scalability
Diagnose whether operational issues stem from people, process, technology, payer requirements, or cross-functional dependencies, and coordinate the right response
Support readiness for new markets, payers, and programs, and escalate systemic issues requiring broader organizational or technical intervention
This role partners closely with Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, Payer/Partner teams, and Product/Technology to resolve issues, implement changes, and drive results — while maintaining clear ownership of Revenue Cycle execution.