Revenue Cycle Manager

SummitStone Health Partners • Fort Collins, CO

13d

About The Position

Responsible for ensuring accurate, compliant, and effective coding, charging, and billing practices, the Revenue Integrity Manager provides strategic and operational leadership across the revenue cycle. This includes direct supervision of the coding team to maintain consistent, high‑quality, and compliant coding and charge‑capture processes. The role also analyzes complex data to identify trends, variances, and improvement opportunities related to coding, payor contracting, and revenue cycle performance. In partnership with Revenue Cycle leadership, this position fosters trust, accountability, and strong cross‑departmental collaboration while supporting a diverse, inclusive, and high‑performing work environment. The Revenue Integrity Manager demonstrates and promotes SummitStone Health Partners’ values through both visionary and operational leadership.

Requirements

• Bachelor’s degree in a related field required.
• More than two years of experience in revenue cycle, coding, billing, compliance, or data reporting required.
• Experience utilizing an EHR required, experience with Epic preferred.
• Experience in the behavioral health field preferred.
• Equivalent combination of education and experience may be evaluated and considered.

Nice To Haves

• Bilingual/bi-cultural preferred.
• Coding certification preferred

Responsibilities

• Oversee and ensure the accuracy and compliance of coding, charge capture, and reimbursement processes in alignment with regulations, payer requirements, and organizational policies; identify trends, risks, and opportunities for improvement.
• Provide direct management and supervision of the coding team, including hiring, onboarding, training, performance evaluation, coaching, and professional development to ensure high quality, consistent coding practices.
• Establish workflows, coding standards, productivity expectations, and quality benchmarks; conduct routine coding audits and provide guidance for improvement.
• Review insurance payments against payer contracts to validate reimbursement; investigate and report payment variances, underpayments, and systemic issues.
• Analyze denial trends and root causes related to coding, authorization, documentation, and billing; collaborates with RCM Manager for claim resubmission, reprocessing, and denial prevention.
• Develop, analyze, and distribute reports on AR aging, department revenues, denial trends, and monthly cash projections to support Revenue Cycle and Finance operations.
• Serve as the primary contact for Finance in validating charges, payments, adjustments, and other financial data sourced from the EHR.
• Represent Revenue Cycle in the development of new service lines, including reviewing and pricing new CPT codes in the chargemaster to ensure accurate, compliant billing.
• Maintain up to date knowledge of the Colorado State Behavioral Health Services Billing Manual and other regulatory guidance; ensure compliance through education and monitoring.
• Serve as a subject matter expert and resource across departments, providing guidance on coding, billing, reimbursement, and revenue integrity best practices; report regularly to the Revenue Cycle Director on performance, risks, staffing needs, and initiatives.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage — including options for eligible dependents
• Mental health and wellness resources
• Short-term and long-term disability insurances
• Paid time off (PTO): Accrued vacation and personal leave based on FTE status and length of service
• Paid Sick Leave: Provided in accordance with the Colorado Healthy Families and Workplaces Act (HFWA)
• A range of voluntary benefits available to all employees
• 403(b) retirement plan with employer matching contributions

What This Job Offers

• Job Type: Full-time
• Career Level: Manager