Revenue Cycle Manager (RCM) Rocky Mountain Laboratories – Draper, UT About Us Rocky Mountain Laboratories is a leading clinical and molecular diagnostics laboratory providing comprehensive testing and billing services to healthcare providers nationwide.
We are dedicated to delivering accurate and timely diagnostic results through cutting-edge technology, automation, and a patient-focused approach.
Position The Revenue Cycle Manager (RCM) oversees all aspects of the laboratory revenue cycle, billing, and reimbursement operations, including direct supervision of an offshore medical billing team in the Philippines.
This position ensures accurate claims submission, coding compliance, denials management, and payer follow-up for molecular diagnostics, toxicology, and other clinical laboratory services.
The ideal candidate is a Certified Professional Coder (CPC) with hands-on laboratory billing experience and proven success leading large billing teams.
This is a hybrid role , requiring one day per week onsite in our Draper, UT office.
Responsibilities Manage the full end-to-end laboratory revenue cycle, including charge capture, claim submission, payment posting, and A / R follow-up Supervise and develop a billing team of approximately 40, including offshore medical billing specialists Ensure accurate CPT (80000 series) and ICD-10 coding for all laboratory procedures in compliance with payer, Medicare, and Medicaid requirements Oversee claim edits, denials, appeals, and reimbursement optimization Establish and maintain SOPs, KPIs, and billing workflows to improve accuracy and compliance Collaborate with laboratory operations, finance, and IT to resolve billing or system issues Prepare RCM performance reports and identify revenue leakage, denial trends, and process improvements Stay current on payer policy changes, CLIA regulations, and healthcare billing compliance Serve as the escalation point for complex billing or client issues Perform other related duties as assigned Qualifications 3+ years of direct experience in clinical or molecular laboratory billing 3+ years of leadership experience managing 15 or more billing staff Strong understanding of revenue cycle management, CPT / ICD-10 coding, and payer compliance Experience managing offshore, remote, or hybrid billing teams Excellent analytical, communication, and problem-solving skills Proficiency in medical billing and EHR systems (AdvancedMD, LIS, or similar) Experience using AdvancedMD Ability to analyze data and drive process improvement Comfortable working in a fast-paced, compliance-driven laboratory environment Education Certified Professional Coder (CPC) – Preferred Associate’s or Bachelor’s degree in Business, Healthcare Administration, or related field preferred Schedule Monday – Friday, 9 :
Health, Dental, and Vision Insurance Paid Time Off (21 days annually for full-time team members) 7 Paid Holidays 401(k) with 50% Company Match up to 6%
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Revenue Cycle Manager • Draper, UT, US