Medical Billing Manager
Pedes Orange County7 months ago
Irvine, CA, United States
Hybrid
Full-time
Junior Level (1-3 years)
Job Description
Salary
$80-100k
Position Summary
The Medical Billing Manager will lead all aspects of the practices billing operations, ensuring timely, accurate, and compliant claim submissions, collections, and account reconciliations. This role requires a deep understanding of vascular and interventional radiology coding, payer guidelines, and reimbursement processes. The ideal candidate will combine hands-on billing expertise with strong leadership and analytical skills to maximize revenue and maintain high standards of financial performance.
Key Responsibilities
Billing & Revenue Cycle Management
- Oversee the full revenue cycle process, including charge entry, claim submission, payment posting, appeals, and collections.
- Ensure accurate coding and documentation for vascular and interventional radiology procedures (CPT, ICD-10, HCPCS).
- Monitor accounts receivable (A/R) and implement strategies to reduce denials and improve cash flow.
- Review and resolve billing discrepancies, payer rejections, and underpayments promptly.
- Maintain compliance with Medicare, Medicaid, and commercial insurance billing regulations.
Leadership & Staff Management
- Supervise and mentor billing staff, providing training on policies, coding updates, and payer requirements.
- Establish performance metrics and conduct regular performance reviews.
- Coordinate with clinical and administrative teams to ensure accurate charge capture and documentation.
Reporting & Analysis
- Prepare and present monthly revenue cycle performance reports to leadership.
- Analyze billing trends, identify revenue opportunities, and implement process improvements.
- Stay updated on industry changes, payer guidelines, and compliance requirements.
Qualifications
- Minimum 5 years of progressive medical billing experience, with at least 2 years in a leadership role.
- Strong knowledge of vascular and interventional radiology coding, documentation, and reimbursement.
- Proficiency in CPT, ICD-10, HCPCS, and modifier use.
- Experience with Medicare, Medicaid, and commercial payer billing guidelines.
- Familiarity with [EHR/Billing software you use] preferred.
- Excellent leadership, communication, and problem-solving skills.
- Detail-oriented with the ability to manage multiple priorities and deadlines.
Preferred Skills
- Certified Professional Coder (CPC) or equivalent certification.
- Experience in hospital-based and office-based interventional radiology billing.
- Strong analytical skills and ability to create actionable reports.
Compensation & Benefits
- Competitive salary based on experience.
- Health, dental, and vision insurance.
- Paid time off and holidays.
- Retirement plans.
- Professional development opportunities.
Required Skills
EHR/Billing Software
ICD-10 Coding
Revenue Cycle Management
CPT Coding
Problem-solving
Medical Billing
HCPCS Coding
Performance Analysis
Interventional Radiology Coding
Compliance
Vascular Coding
Staff Management