Job Description

Job Description
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

Job Tags

Monday to Friday, Shift work

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