Manager, Revenue Cycle Management Systems Administration

We are seeking a Manager – RCM Systems Administration to lead the functional administration, optimization, and support of our revenue cycle technology environment. This is a highly visible, hands-on role that will work across Revenue Cycle Management, Finance, Operations, IT, Coding, Compliance, and our technology partners.

This is an opportunity to play a key role in building a more standardized, automated, and data-driven revenue cycle organization. The Manager – RCM Systems Administration will have direct influence on how technology supports our employees, physicians, patients, and financial performance as Ascend continues to grow and evolve.

The Opportunity

The Manager – RCM Systems Administration will serve as the primary RCM business administrator for Nex Tech, Med Evolve, White Plume AI-assisted coding, and other revenue cycle applications.

This individual will be responsible for ensuring our RCM technology is configured effectively, workflows are standardized and efficient, fee schedules and master data are accurate, user access is appropriately controlled, and reporting provides leaders with reliable information to manage performance.

Nex Tech is Ascend's strategic enterprise practice-management platform. Med Evolve will continue to support legacy revenue cycle activity during the remaining transition period, while White Plume plays an important role in our AI-assisted coding strategy.

The successful candidate will combine strong healthcare revenue cycle knowledge with hands-on systems expertise and an ability to turn operational requirements into practical technology solutions.

What You Will Do

RCM Systems Administration & Optimization

• Serve as the primary functional RCM administrator for Nex Tech and assigned revenue cycle applications.
• Configure, maintain, troubleshoot, and optimize RCM system functionality.
• Maintain configuration supporting physician practices and ambulatory surgery centers, including entities, locations, providers, payers, plans, departments, work queues, edits, rules, and other RCM master data.
• Coordinate system changes, testing, validation, release management, and deployment.
• Troubleshoot revenue cycle system issues, identify root causes, and coordinate corrective action.
• Maintain configuration documentation and change-control records.

• Own the loading, maintenance, validation, and governance of fee schedules.
• Maintain accurate fee schedule assignments across entities, locations, providers, payers, service lines, and other required dimensions.
• Coordinate updates to CPT, HCPCS, ICD-10, modifiers, charge descriptions, and related billing tables.
• Establish controls for master-data changes, including approval, testing, documentation, and post-change validation.
• Conduct periodic audits to identify missing, outdated, duplicated, or incorrectly mapped data.
• Partner with RCM, Finance, Coding, and payer-contracting teams to resolve configuration issues that could contribute to claim errors, underpayments, patient-balance errors, or revenue leakage.

• Design, configure, and optimize RCM workflows, work queues, routing logic, edits, alerts, assignments, and automation.
• Partner with Front-End and Back-End RCM leaders to translate operational needs into standardized system workflows.
• Identify opportunities to eliminate manual work, duplicate effort, unnecessary handoffs, and avoidable rework.
• Standardize workflows across markets and practices while appropriately supporting payer, specialty, facility, and market-specific requirements.
• Monitor workflow performance to identify bottlenecks, training gaps, configuration issues, and productivity opportunities.

• Manage user provisioning, modifications, deactivation, security roles, profiles, and permissions.
• Develop standardized role-based access aligned with job responsibilities and segregation-of-duties requirements.
• Conduct periodic user-access and privileged-access reviews.
• Ensure…