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

• 3 years of credentialing and revenue cycle experience in healthcare.
  

• Medical coding experience required; coding certification preferred (CPC, CCS, or equivalent).
  

• Ability to read provider notes and accurately code encounters independently.
  

• Strong knowledge of Medicare, Medicaid, and commercial payer processes.
  

• Familiarity with credentialing systems (CAQH, PECOS, NPPES, etc.).
  

• Exceptional organizational skills and attention to detail.
  

• Ability to prioritize multiple tasks and meet deadlines.
  

Why Join Pinnacle?

• Competitive compensation benefits package.
  

• Growth opportunities in a rapidly expanding healthcare organization.
  

• Collaborative, mission-driven team environment.
  

• Help shape compliance and coding processes that directly impact patient care.
  

Benefits

• 401k
  
• 401k matching
  
• Competitive pay
  
• Medical, dental, and vision insurance
  
• Paid time off
  
• Free parking
  
• No nights, no weekends
  
• Monday - Friday, 8 hour shift