What are the responsibilities and job description for the Revenue Cycle Manager position at CAPE FEAR RETINAL ASSOCIATES, PC?
Position Overview
We are seeking an experienced Revenue Cycle Manager to lead and optimize all aspects of the revenue
cycle for a fast-paced retina practice. This role is responsible for ensuring financial performance through
effective management of billing, coding, collections, payer relations, and compliance.
The ideal candidate brings strong ophthalmology/retina experience, a deep understanding of payer rules,
and a proactive, data-driven approach to revenue cycle performance.
Key Responsibilities
Revenue Cycle Oversight
• Manage end-to-end revenue cycle operations including charge capture, coding, claim submission,
payment posting, and accounts receivable follow-up
• Monitor KPIs such as days in A/R, denial rates, collection rates, and net revenue performance
• Implement workflows to improve cash flow and reduce revenue leakage
Billing & Coding Compliance
• Ensure accurate coding for retina and ophthalmology services (including surgical and in-office
procedures)
• Maintain compliance with Medicare, Medicaid, and commercial payer regulations
• Oversee and perform internal audits and coordinate external audits as needed
Denial Management & Collections
• Lead denial management strategy, including root cause analysis and corrective action plans
• Optimize processes for timely follow-up on outstanding claims and patient balances
• Collaborate with front office to improve eligibility, authorizations, and point-of-service collections
Team Leadership
• Supervise billing, coding, and A/R staff
• Provide training, performance management, and ongoing development
• Foster a culture of accountability, accuracy, and continuous improvement
Reporting & Analytics
• Prepare and present monthly financial and operational reports
• Analyze trends and identify opportunities for revenue growth and process improvement
• Partner with leadership on budgeting, forecasting, and strategic planning
Qualifications
Required:
• Revenue cycle management experience in healthcare
• Experience in a leadership or supervisory role
• Strong knowledge of medical billing, coding, and reimbursement methodologies
• Experience with EHR/PM systems (e.g., ModMed, NextGen, Epic, or similar)
Preferred:
• Experience in ophthalmology or retina specialty practice
• Certification such as CPC (Certified Professional Coder), CPB, or CRCR and/or OCS/OCSR
• Familiarity with retina-specific procedures (e.g., injections, OCT, laser, vitrectomy billing)
Key Competencies
• Strong analytical and problem-solving skills
• Detail-oriented with high level of accuracy
• Excellent communication and leadership abilities
• Ability to thrive in a fast-paced, high-volume environment
We are seeking an experienced Revenue Cycle Manager to lead and optimize all aspects of the revenue
cycle for a fast-paced retina practice. This role is responsible for ensuring financial performance through
effective management of billing, coding, collections, payer relations, and compliance.
The ideal candidate brings strong ophthalmology/retina experience, a deep understanding of payer rules,
and a proactive, data-driven approach to revenue cycle performance.
Key Responsibilities
Revenue Cycle Oversight
• Manage end-to-end revenue cycle operations including charge capture, coding, claim submission,
payment posting, and accounts receivable follow-up
• Monitor KPIs such as days in A/R, denial rates, collection rates, and net revenue performance
• Implement workflows to improve cash flow and reduce revenue leakage
Billing & Coding Compliance
• Ensure accurate coding for retina and ophthalmology services (including surgical and in-office
procedures)
• Maintain compliance with Medicare, Medicaid, and commercial payer regulations
• Oversee and perform internal audits and coordinate external audits as needed
Denial Management & Collections
• Lead denial management strategy, including root cause analysis and corrective action plans
• Optimize processes for timely follow-up on outstanding claims and patient balances
• Collaborate with front office to improve eligibility, authorizations, and point-of-service collections
Team Leadership
• Supervise billing, coding, and A/R staff
• Provide training, performance management, and ongoing development
• Foster a culture of accountability, accuracy, and continuous improvement
Reporting & Analytics
• Prepare and present monthly financial and operational reports
• Analyze trends and identify opportunities for revenue growth and process improvement
• Partner with leadership on budgeting, forecasting, and strategic planning
Qualifications
Required:
• Revenue cycle management experience in healthcare
• Experience in a leadership or supervisory role
• Strong knowledge of medical billing, coding, and reimbursement methodologies
• Experience with EHR/PM systems (e.g., ModMed, NextGen, Epic, or similar)
Preferred:
• Experience in ophthalmology or retina specialty practice
• Certification such as CPC (Certified Professional Coder), CPB, or CRCR and/or OCS/OCSR
• Familiarity with retina-specific procedures (e.g., injections, OCT, laser, vitrectomy billing)
Key Competencies
• Strong analytical and problem-solving skills
• Detail-oriented with high level of accuracy
• Excellent communication and leadership abilities
• Ability to thrive in a fast-paced, high-volume environment