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Billing & Coding Manager
Billing & Coding ManagerSJH Derm • La Grange, IL, US
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Billing & Coding Manager

Billing & Coding Manager

SJH Derm • La Grange, IL, US
23 hours ago
Job type
  • Full-time
Job description

The RCM Manager oversees daily operations of the Revenue Cycle Management team across 4 dermatology practices in the Chicagoland area. This role ensures timely and accurate billing, collections, and reimbursement for professional and ancillary services. The Billing Manager leads a team of RCM professionals, drives efficiency and compliance in all billing activities, and collaborates closely with providers and leadership to optimize financial performance and the patient experience.

Key Responsibilities

  • Supervise and mentor a team of 10 Billing and Coding professionals, fostering accuracy, accountability, and collaboration.
  • Oversee all billing operations, including charge capture, accurate coding, claims submission, payment posting, A / R follow-up, and patient collections.
  • Manage daily workflows ensuring timely and compliant submissions.
  • Monitor key performance indicators (A / R days, denial rates, collection percentages) to drive efficiency and continuous improvement.
  • Ensure accurate coding for dermatology procedures (medical and cosmetic) and compliance with CPT, ICD-10, and modifier guidelines.
  • Identify and resolve trends in denials, underpayments, and rejections through process improvement and staff training.
  • Maintain current knowledge of payer regulations, Medicare, BCBS, UHC, Cigna, Humana, Aetna and commercial insurance requirements.
  • Conduct regular billing and coding audits to ensure compliance and accuracy.
  • Collaborate with leadership and providers to streamline workflows, maximize revenue capture, and improve financial performance.
  • Assist with payer credentialing, contract updates, and fee schedule maintenance.
  • Communicate billing policy updates and foster strong relationships with clinical, administrative, and payer partners.

Qualifications

  • Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
  • 5+ years of medical billing or RCM experience, with at least 2 years in a supervisory / lead or management role.
  • Dermatology or specialty practice billing experience strongly preferred.
  • In-depth knowledge of CPT, ICD-10, and modifier use for dermatology procedures.
  • Familiarity with payer rules, prior authorization processes, and reimbursement methodologies for both medical and cosmetic services.
  • CPC Required.
  • Proficiency with practice management and EHR software, preferably Nextech.
  • Strong leadership, analytical, and communication skills with a focus on accuracy and efficiency.
  • Seniority Level

  • Mid-Senior level
  • Employment Type

  • Full-time
  • Job Function

  • Health Care Provider and Administrative
  • Industries

  • Hospitals and Health Care
  • J-18808-Ljbffr

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