Revenue Cycle Manager

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

Why Join Pinnacle?

Benefits