Revenue Cycle Manager – Credentialing & Coding
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Pinnacle Wound Management is a leading wound care provider dedicated to delivering high -quality patient care. We are looking for a Revenue Cycle Manager<\/b> who thrives in a fast -paced healthcare environment. This role is essential in ensuring our providers are credentialed, compliant, and accurately coded for billing.
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If you are detail -oriented, coding -savvy, and passionate about compliance, we want to hear from you!
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What You’ll Do
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• Manage the credentialing and re -credentialing process for physicians and mid -level providers.
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• Maintain and update provider profiles across portals: CAQH, PECOS, NPPES, Availity, Navinet, PaySpan, CMS, and Managed Care Organizations.<\/b>
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• Oversee payer enrollments, terminations, and demographic updates.
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• Track renewals for DEA licenses, board certifications, and malpractice insurance.
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• Review provider notes and assign accurate billing codes without relying on a superbill.<\/b>
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• Monitor compliance with CMS, Medicare, Medicaid, and commercial payer requirements.
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• Identify workflow improvements to streamline credentialing and coding.
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  What We’re Looking For
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  • 3+ years of credentialing and revenue cycle experience<\/b> in healthcare.
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  • Medical coding experience required; coding certification preferred (CPC, CCS, or equivalent).<\/b>
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  • Ability to read provider notes and accurately code encounters independently.
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  • Strong knowledge of Medicare, Medicaid, and commercial payer processes.
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  • Familiarity with credentialing systems (CAQH, PECOS, NPPES, etc.).
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  • Exceptional organizational skills and attention to detail.
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  • Ability to prioritize multiple tasks and meet deadlines.
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    Why Join Pinnacle?
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    • Competitive compensation + benefits package.
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    • Growth opportunities in a rapidly expanding healthcare organization.
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    • Collaborative, mission -driven team environment.
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    • Help shape compliance and coding processes that directly impact patient care.
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      Benefits<\/h3>

      • 401k<\/span><\/span><\/span>
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      • 401k matching<\/span><\/span><\/span>
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      • Competitive pay<\/span><\/span><\/span>
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      • Medical, dental, and vision insurance<\/span><\/span><\/span>
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      • Paid time off<\/span><\/span><\/span>
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      • Free parking<\/span><\/span><\/span>
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      • No nights, no weekends<\/span><\/span><\/span>
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      • Monday - Friday, 8 hour shift<\/span><\/span>
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