Revenue Cycle Manager
Job in
Miami, Miami-Dade County, Florida, 33222, USA
Listed on 2026-06-04
Listing for:
Pinnaclewoundmanagement
Full Time
position Listed on 2026-06-04
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding
Job Description & How to Apply Below
Miami, United States | Posted on 04/07/2026
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, Pay Span, 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.
- 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.
- 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.
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