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Revenue Cycle Manager

Summit Surgical

Medora, KS

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JOB DETAILS
SKILLS
Accounting, Accounting Close, Accounts Receivable, Anesthesiology, Benchmarking, Billing, Centers for Medicare and Medicaid Services (CMS), Charge Capture, Clinical Study Publications, Coaching, Code Reviews, Content Management Systems (CMS), Contract Management, Corrective Action, Credit and Collections, Current Procedural Terminology (CPT), Documentation, Facilities Management, Fee Schedule, Financial Analysis, Financial Compliance, Financial Reporting, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Common Procedure Coding System (HCPCS), ICD-10, Leadership, Maintain Compliance, Medicaid, Medicare, Metrics, Monitor Regulations, Past Due Accounts, Patient Care Authorizations, Patient Registration, Payment Posting, Performance Goal Setting, Performance Reviews, Policy Implementation, Provider Credentialing, Regulatory Compliance, Relationship Management, Reporting Dashboards, Revenue Management, Root Cause Analysis, Sales Management, Team Lead/Manager, Time Management, Training/Teaching, Trend Analysis, Vendor/Supplier Relations, Workflow Analysis
LOCATION
Medora, KS
POSTED
3 days ago
The Revenue Cycle Manager (RCM) leads all billing, coding, claims submission, denial management, and accounts receivable functions for Summit Surgical. Operating as both a working manager and a strategic leader, the RCM oversees a team of billing and coding specialists while maintaining direct accountability for the facility’s net revenue capture, payer compliance, and financial reporting accuracy. Responsibilities: Revenue Cycle Operations Oversee end-to-end revenue cycle: patient registration, prior authorization, charge capture, coding review, claims submission, payment posting, denial management, and A/R follow-up, payer contract and relationship management, Ensure timely and accurate claim submission to Medicare, Medicaid, and all commercial payers in compliance with CMS and payer-specific guidelines Maintain clean claim rate target of =95% and monitor days in A/R against facility benchmarks Manage and optimize TruBridge billing and coding modules; identify workflow improvement opportunities Maintain charge description master (CDM) integrity and accuracy of payer fee schedules Coding & Compliance Review and audit surgical, anesthesia, and facility coding for accuracy under ICD-10-CM/PCS, CPT, and HCPCS Level II guidelines Maintain HIPAA billing compliance and adhere to OIG compliance program requirements Serve as primary liaison with Summit physicians and clinical staff on clinical documentation improvement and charge capture accuracy Monitor and implement regulatory updates from CMS, OIG, and AAPC Financial Reporting & Analysis Produce weekly, monthly, and quarterly revenue cycle performance dashboards for FenixMed leadership and Summit ownership Track and report key metrics: days in A/R, denial rate, clean claim rate, cash collections, write-off ratios, and net collection rate Lead root-cause analysis on denial trends and underpayments; develop and execute corrective action plans Coordinate with FenixMed accounting team for month-end close, contractual adjustments, and bad debt reserve calculations Team Leadership & Development Recruit, hire, onboard, and develop billing and coding specialists Set individual performance goals, provide regular coaching, and conduct annual performance reviews Create and maintain billing and coding policy and procedure documentation Coordinate continuing education and support certification maintenance for team members Payer & Vendor Relations Manage payer contracts, credentialing timelines, and provider enrollment in coordination with FenixMed Serve as primary escalation contact for complex claim disputes and payer audits Evaluate and recommend billing technology tools, clearinghouses, or supplemental coding resources as needed PIf76020caf70f-25448-408208415c143e31-5e48-4549-b638-05792d185386

About the Company

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Summit Surgical