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
