VP, RCM Business Operations
Nashville, TN · On-site
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
Nashville, TN · On-site
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
Nashville, TN · On-site
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
OR · Remote
$60K - $65K/yr
RCM Billing Account Manager - Remote Compensation: $60,000 - $65,000 per year Nexus HR is looking ... Communicate with either the client or team any needs, concerns, common denials, coding corrections ...
OR · Remote
$60K - $65K/yr
RCM Billing Account Manager - Remote Compensation: $60,000 - $65,000 per year Nexus HR is looking ... Communicate with either the client or team any needs, concerns, common denials, coding corrections ...
Sewickley, PA · On-site
Netsmart RCM (Revenue Cycle Management) Consultant Location: Remote Pay: Commensurate With ... Work closely with finance, billing, and coding departments to align system capabilities with ...
Sewickley, PA · On-site
Netsmart RCM (Revenue Cycle Management) Consultant Location: Remote Pay: Commensurate With ... Work closely with finance, billing, and coding departments to align system capabilities with ...
Nashville, TN · On-site
$120 - $150/hr
Director, RCM Analytics and Insights The Director, RCM Analytics and Insights is a newly created ... Prior experience with HCPCS, ICD‑10 and CPT coding, including their downstream impact on denials ...
Nashville, TN · On-site
$120 - $150/hr
Director, RCM Analytics and Insights The Director, RCM Analytics and Insights is a newly created ... Prior experience with HCPCS, ICD‑10 and CPT coding, including their downstream impact on denials ...
RCM Lead Remote About Us Health is the most important thing in life, and the American healthcare ... Medical coding background (CPC/CCS credentialed) a plus Please note that you must be legally ...
RCM Lead Remote About Us Health is the most important thing in life, and the American healthcare ... Medical coding background (CPC/CCS credentialed) a plus Please note that you must be legally ...
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
Fort Lauderdale, FL · On-site
The ideal candidate brings at least 3 years of direct RCM sales experience, a deep understanding of medical billing, coding, and revenue cycle workflows, and a track record of closing mid-market and ...
Fort Lauderdale, FL · On-site
The ideal candidate brings at least 3 years of direct RCM sales experience, a deep understanding of medical billing, coding, and revenue cycle workflows, and a track record of closing mid-market and ...
Coeur D Alene, ID · On-site +1
$52K - $68K/yr
Strong knowledge of medical billing/coding, payer rules, and RCM KPIs. * Experience with EHR/billing systems, Excel/reporting, and process improvement. * Strong leadership, communication, and problem ...
Coeur D Alene, ID · On-site +1
$52K - $68K/yr
Strong knowledge of medical billing/coding, payer rules, and RCM KPIs. * Experience with EHR/billing systems, Excel/reporting, and process improvement. * Strong leadership, communication, and problem ...
New York, NY · On-site
... driven RCM Analyst to join our revenue cycle team and sit at the intersection of analytics and ... Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root ...
New York, NY · On-site
... driven RCM Analyst to join our revenue cycle team and sit at the intersection of analytics and ... Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root ...
Temecula, CA · On-site
$24 - $28/hr
The RCM Biller/Coder is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports ...
Quick apply
Temecula, CA · On-site
$24 - $28/hr
The RCM Biller/Coder is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports ...
Brentwood, TN · On-site
Partner with IT, compliance, clinical documentation, coding, billing, and finance teams to ensure safe and effective AI deployment. * Train RCM staff on using Claude-powered tools and best practices.
Brentwood, TN · On-site
Partner with IT, compliance, clinical documentation, coding, billing, and finance teams to ensure safe and effective AI deployment. * Train RCM staff on using Claude-powered tools and best practices.
Medical billing and coding certification preferred. * Proven experience in a client or practice ... RCM experience with experience developing and presenting revenue cycle management KPIs and month ...
Medical billing and coding certification preferred. * Proven experience in a client or practice ... RCM experience with experience developing and presenting revenue cycle management KPIs and month ...
Saint Petersburg, FL · On-site
$20.75 - $25/hr
At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are ...
Quick apply
Saint Petersburg, FL · On-site
$20.75 - $25/hr
At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are ...
$55K - $60K/yr
Reporting directly to the Sr. Manager, RCM, this role is responsible for managing the day-to-day ... Accurately document and maintain treatment details, procedure codes, and patient encounter ...
$55K - $60K/yr
Reporting directly to the Sr. Manager, RCM, this role is responsible for managing the day-to-day ... Accurately document and maintain treatment details, procedure codes, and patient encounter ...
Bronx, NY · On-site
$65K - $80K/yr
RCM & Compliance Manager Department : Nursing Home & Hospitalist Divisions Job Summary : Essen ... Qualifications Qualifications • Experience in revenue cycle management, compliance, or coding ...
Bronx, NY · On-site
$65K - $80K/yr
RCM & Compliance Manager Department : Nursing Home & Hospitalist Divisions Job Summary : Essen ... Qualifications Qualifications • Experience in revenue cycle management, compliance, or coding ...
Brentwood, TN · On-site
Partner with IT, compliance, clinical documentation, coding, billing, and finance teams to ensure safe and effective AI deployment. * Train RCM staff on using Claude-powered tools and best practices.
Brentwood, TN · On-site
Partner with IT, compliance, clinical documentation, coding, billing, and finance teams to ensure safe and effective AI deployment. * Train RCM staff on using Claude-powered tools and best practices.
Hackensack, NJ · On-site
RCM Business Analyst Location : Hackensack,NJ Position Overview: We are seeking a highly skilled ... coding, finance, clinical operations) and the IT team to capture and define detailed business ...
Hackensack, NJ · On-site
RCM Business Analyst Location : Hackensack,NJ Position Overview: We are seeking a highly skilled ... coding, finance, clinical operations) and the IT team to capture and define detailed business ...
OR · Remote
$28 - $30/hr
RCM Billing Account Manager - Remote Compensation: $28 - $30 per hour Nexus HR is looking for a ... Communicate with either the client or team any needs, concerns, common denials, coding corrections ...
OR · Remote
$28 - $30/hr
RCM Billing Account Manager - Remote Compensation: $28 - $30 per hour Nexus HR is looking for a ... Communicate with either the client or team any needs, concerns, common denials, coding corrections ...
Bronx, NY · On-site
RCM & Compliance Manager Department : Nursing Home & Hospitalist Divisions Job Summary : Essen ... Monitor regulatory changes related to E&M coding (including split/shared visit rules) and update ...
Bronx, NY · On-site
RCM & Compliance Manager Department : Nursing Home & Hospitalist Divisions Job Summary : Essen ... Monitor regulatory changes related to E&M coding (including split/shared visit rules) and update ...
Key Responsibilities Coding, Charge Entry, and Edit Management * Oversee and support daily ... Collaborate with the RCM Manager to implement changes in workflows based on payer policy updates ...
Quick apply
Key Responsibilities Coding, Charge Entry, and Edit Management * Oversee and support daily ... Collaborate with the RCM Manager to implement changes in workflows based on payer policy updates ...
| Aspect | Rcm Coding | Medical Billing Specialist |
|---|---|---|
| Credentials | Certified Professional Coder (CPC), CPC-H, or equivalent | Certification not always required; experience preferred |
| Work Environment | Hospitals, clinics, insurance companies, healthcare providers | Medical offices, billing companies, healthcare providers |
| Primary Focus | Assigning accurate medical codes for procedures and diagnoses | Submitting claims, follow-up, and payment processing |
| Overlap | High; both involve healthcare revenue cycle | Moderate; billing specialists often handle coding tasks |
Rcm Coding primarily involves assigning medical codes for billing and reimbursement, requiring specific certifications. Medical Billing Specialists focus on submitting claims and managing payments. While both roles are integral to healthcare revenue cycle management, Rcm Coding emphasizes coding accuracy, whereas Medical Billing Specialists handle the broader billing process.

7.8
Based on 17 frontline employees who took The Breakroom Quiz
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer ("CRO") and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. This role will also work with the CRO to manage the operational infrastructure within RCM to support continued growth through practice
acquisition and integration. In addition, this individual will drive development, production and communication of KPI's and metrics usage across the RCM platform.
Responsibilities:
Operational Leadership
Work closely with the CRO and the other RCM VP's to coordinate delivery of high-quality RCM services to practices including timely and proactive communication to practice leadership.
Develop, monitor, improve and communicate KPIs such as days in A/R, day sales outstanding (DSO's), clean claim rate, denial rate, and cash collections; develop dashboards and reporting cadence for executive visibility.
Embed the KPI's into everyday RCM operations such that each RCM team assesses performance based on these KPI's.
Develop action plans and work alongside the other RCM VP's to constantly drive down DSO's, improve collections, coordinate RCM responses to external, macro-economic challenges such as vendor issues, government actions, or payor actions.
Coordinate internal RCM team operations - including leading planning for and leading leadership meetings, managing risk and issues log.
With the CRO, coordinate the various end-to-end revenue cycle operations including patient access, prior authorization, coding, charge capture, billing, A/R follow-up, denial management, and payment posting.
Oversee specialty-specific workflows such as:
Oncology: Infusion and drug billing (e.g., J-codes, NDC mapping), prior
authorization for high-cost therapies, Medicare Part B compliance.
Urology: Procedure bundling, surgical authorization, and device billing.
Surgery: Global periods, modifier usage, inpatient/outpatient billing distinctions.
Develop and maintain a proactive approach for RCM to stay ahead of issues or risks before they impact practice or OneOncology operations.
Ensure timely communication and coordination with other internal OneOncology teams such as Operational Regional Leadership, Accounting, Revenue Recognition, FP&A and the Executive Team of OneOncology.
Strategic Management
Support the development and execution of RCM strategy aligned with organizational goals, payer trends, and reimbursement models.
Evaluate and optimize technology platforms (EHR/PM, clearinghouse, AI, automation tools, BI reporting).
Collaborate closely with finance, clinical operations, IT, compliance, and managed care teams to ensure cohesive revenue cycle integration during onboarding of new practices and service lines.
Team Leadership & Development
Manage a team of RCM leads based on team needs.
Work alongside the other RCM VP's to build a performance-based culture based on accountability, reliability, process excellence, and continuous improvement.
Assist the other RCM VP's in hiring, training, and monitoring of employees joining the Corporate OneOncology RCM team.
Compliance & Risk Management
Work with other RCM VP's to ensure adherence to CMS, OIG, HIPAA, and payer specific regulations across specialties.
Partner with Compliance and the other RCM VP's to manage and communicate audits (internal and external), corrective action plans, and payer escalations.
Assist other RCM VP's to implement internal controls and QA/QC processes around clinical documentation, coding accuracy, and claim submission.
Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.
Qualifications/Competencies:
Bachelor's degree in Healthcare Administration, Business, or related field required, Master's degree preferred.
10+ years of progressive leadership experience in RCM, with at least 5 years in a senior leadership role overseeing multi-specialty revenue cycle functions required.
Prior experience in supporting or leading RCM functions in a large organization is required.
Experience supporting a growing MSO, large physician group, or PE-backed healthcare platform required.
Experience integrating newly acquired practices into a centralized RCM function preferred.
Familiarity with PM/EHR systems such as OncoEMR, NextGen, eCW, Athena, EPIC, etc preferred.
Customer/client service approach to every activity.
Strategic thinker with hands-on operational execution capability.
Strong financial acumen and ability to tie revenue cycle performance to enterprise-level goals.
Excellent leadership, communication, and change management skills.
Strong organizational skills and ability to work across multi-function organizations.
Ability to work with cross functional colleagues at the same executive level to accomplish objectives.
Ability to work in a high growth environment with regularly changing priorities.
Demonstrated ability to assess dynamic situations and cut through the noise to assess and drive priorities.
Data-driven mindset with a commitment to process excellence and compliance.
Ability and willingness to deep dive into claims, denials, patient authorizations to help guide team on focus areas.
Up to 40% travel
Salary Range: 180K-230K
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Health care and social assistance
1,001 - 5,000 Employees
Nashville, TN, US
2018