Revenue Cycle Manager

Pinnacle Wound Management•Miami, FL

About The Position

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!

Requirements

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.

Responsibilities

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.