Nevada Pediatric Specialists is seeking an experienced and highly motivated Revenue Cycle Lead to support billing and coding operations within a growing pediatric practice.
This role partners closely with the Revenue Cycle Manager to oversee daily billing support, coding compliance, staff training, process improvement, and operational excellence. The position is focused on maintaining coding accuracy, revenue integrity, strong internal workflows, and a professional team culture.
Key responsibilities include monitoring claims, denials, appeals, and aging accounts; supporting payer issue resolution; reviewing coding accuracy and documentation compliance; assisting with internal audits and quality reviews; training and onboarding staff; developing and maintaining SOPs; and supporting administrative and credentialing projects as needed.
- Active AAPC Certified Professional Coder (CPC) credential required
- Minimum 3 years of medical billing experience
- Minimum 2 years of coding experience
- Experience leading, training, mentoring, or supervising staff
- Strong knowledge of CPT, ICD-10, HCPCS, medical necessity requirements, denials and appeals management, and revenue cycle workflows
- Proficiency with Microsoft Office applications
- Strong organizational, time management, written, and verbal communication skills
- Strong understanding of HIPAA Privacy and Security Rules
- Knowledge of CMS, Medicaid, Medicare, and commercial payer billing regulations
- Experience applying federal and state healthcare compliance standards in daily operations
- Knowledge of Nevada Medicaid policies, authorization requirements, and billing guidelines
- Experience participating in coding audits, compliance reviews, or quality assurance initiatives
- Demonstrated commitment to ethical billing and coding practices
Preferred qualifications:
- Pediatric billing and coding experience
- eClinicalWorks experience
- Accounts payable experience
- Bilingual English/Spanish
- Credentialing experience
- Previous lead or supervisory experience
- Nevada Medicaid billing experience
- Experience conducting provider or staff compliance education
- Experience developing compliance-related policies and SOPs
- Additional AAPC certifications such as CPB, CPPM, CPMA, or CPC-I
- Competitive compensation
- Paid time off
- Paid holidays
- Health, dental, and vision insurance
- 401(k)
- Professional development opportunities
- Supportive team environment
- Opportunity for career growth and leadership advancement
Location
Las Vegas, Nevada, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago