Pinnacle Wound Management
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.
What You’ll Do
Manage credentialing and re‑credentialing for physicians and mid‑level providers.
Maintain 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.
Qualifications
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
401(k) and matching
Competitive pay
Medical, dental, and vision insurance
Paid time off
Free parking
No nights, no weekends
Monday – Friday, 8‑hour shift
Referrals increase your chances of interviewing at Pinnacle Wound Management by 2x.
Get notified about new Revenue Cycle Manager jobs in
Miami, FL .
#J-18808-Ljbffr
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.
What You’ll Do
Manage credentialing and re‑credentialing for physicians and mid‑level providers.
Maintain 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.
Qualifications
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
401(k) and matching
Competitive pay
Medical, dental, and vision insurance
Paid time off
Free parking
No nights, no weekends
Monday – Friday, 8‑hour shift
Referrals increase your chances of interviewing at Pinnacle Wound Management by 2x.
Get notified about new Revenue Cycle Manager jobs in
Miami, FL .
#J-18808-Ljbffr