Revenue Cycle Manager at Pinnacle Wound Management

Pinecrest, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

0.0

Posted On

07 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Medical coding, Revenue cycle management, Compliance, Payer enrollment, CMS regulations, Medicare, Medicaid, CAQH, PECOS, NPPES, Billing, Attention to detail, Organizational skills, Workflow improvement

Industry

Hospitals and Health Care

Description

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

Responsibilities

Manage the full credentialing and re-credentialing process for providers while maintaining profiles across various healthcare portals. Oversee payer enrollments, ensure billing compliance, and perform accurate medical coding for patient encounters.