Nevada Pediatric Specialists is seeking an experienced Revenue Cycle Lead to support billing and coding operations within its pediatric practice in Henderson, Nevada.
This role partners closely with the Revenue Cycle Manager to help oversee daily revenue cycle activities, improve workflows, support compliance, train staff, and maintain coding accuracy and revenue integrity. The position is intended for a Certified Professional Coder who can serve as a trusted operational leader and team resource.
Key responsibilities include monitoring claim status, denials, appeals, and A/R aging; reviewing coding accuracy and documentation compliance; assisting with internal audits and quality reviews; supporting regulatory compliance efforts; creating and maintaining SOPs; leading process improvement initiatives; training and onboarding staff; and assisting with administrative and credentialing projects.
Required qualifications
- Active AAPC Certified Professional Coder (CPC) credential
- 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 and 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
Benefits
- 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
Henderson, Nevada, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago