Revenue Cycle Management (RCM) Manager
About ReNew Wound Care
ReNew Wound Care partners with skilled nursing facilities, assisted living communities, and long-term acute care hospitals to deliver leading-edge wound care services in post-acute settings. Our highly skilled teams utilize innovative protocols to reduce hospital readmissions and improve patient outcomes across the United States.
Position Overview
The RCM Manager will serve as the central liaison and problem-solver between Renew Wound Care’s clinical and operational staff and its 100% outsourced billing and coding vendor. This individual will be responsible for ensuring timely resolution of billing and coding issues, optimizing revenue cycle performance, and proactively identifying and mitigating risks to reimbursement.
This is a remote-based position.
Key Responsibilities
- Act as the primary triage point for all billing and coding issues raised by clinical, administrative, or billing teams.
- Coordinate communication between outsourced RCM vendor and internal stakeholders to facilitate timely and accurate issue resolution.
- Analyze, track, and report on denials, rejections, coding discrepancies, and other RCM metrics.
- Lead root cause analysis on recurring issues and work with appropriate teams to implement corrective action.
- Partner with clinical and operational teams to educate staff on documentation, coding, and billing best practices to prevent future issues.
- Develop workflows and escalation protocols to ensure efficient issue resolution and minimal revenue leakage.
- Monitor and evaluate vendor performance using KPIs and SLAs; escalate performance issues as necessary.
- Stay current with healthcare reimbursement regulations and payer-specific requirements, especially in the wound care setting.
- Collaborate with leadership on strategic revenue cycle initiatives and process improvement efforts.
Qualifications
- Minimum of 5 years’ experience in healthcare revenue cycle management, with a strong background in billing and coding operations.
- Experience working with outsourced RCM vendors preferred.
- In-depth knowledge of medical billing and coding standards, including CPT, ICD-10, and modifiers.
- Familiarity with denial management, payer guidelines, and revenue recovery strategies.
- Excellent problem-solving skills with a track record of timely and effective issue resolution.
- Strong interpersonal and communication skills; able to translate technical RCM language for clinical and operational audiences.
- Experience with wound care, outpatient services, or specialty practices is strongly preferred.
- Proficiency with EHR/EMR systems and revenue cycle platforms.
- Certification in medical billing/coding (e.g., CPC, CPB, or equivalent) is a plus.
Core Competencies
- Accountability & Ownership
- Analytical Thinking
- Communication & Collaboration
- Attention to Detail
- Process Improvement
- Adaptability in a dynamic environment
What We Offer
- Competitive base salary
- Comprehensive Medical, Dental, and Vision insurance
- 401(k) retirement plan with company match
- Generous Paid Time Off and Sick Leave policies
- Referral Bonus Program
Why Join ReNew Wound Care?
At ReNew Wound Care, we empower our clinicians to make a meaningful impact on patient outcomes every day. You'll be part of a purpose-driven team that values innovation, professional growth, and compassionate care. Step into a career where your care creates change.
ReNew your purpose. ReDefine healing. ReImagine what’s possible.
ReNew Wound Care is committed to fostering a diverse and inclusive workplace. We are proud to be an Equal Opportunity Employer. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
