What Revenue Cycle Management (RCM) contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of a medical practice.

Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patients account balance is zero.

The Lead, Coding & Billing is a hands-on senior individual contributor who provides advanced coding expertise and day-to-day operational leadership for pre-submission billing and specialty coding activities supporting Radiation Oncology, Urology and Imaging, This role supports management by ensuring high-quality coding, clean claim submission, denial prevention, and workflow accountability while serving as the primary escalation point for complex coding and billing issues.

Responsibilities

Functional Leadership & Workflow Oversight

Lead daily pre-submission coding and billing operations to support timely, accurate claim submission.
Monitor In Progress, coding, and pre-bill work queues to ensure productivity standards are met.
Coordinate workloads across multiple specialties and practices.
Maintain department coverage, including PTO coordination.
Support End-of-Month close and reporting deadlines.

Advanced Coding & Clinical Expertise

Serve as certified coding SME for Urology, Radiation Oncology, and Imaging.

Apply expert knowledge of ICD-10-CM, CPT, and HCPCS coding.
Review documentation for accuracy and compliance.
Perform quality audits (routine, pre-bill, policy-driven, incentive-based).
Research resolution for LCD/NCD and payer policy denials.

Denial Prevention & Revenue Integrity

Analyze denial trends and AR aging using Power BI and other tools.
Identify root causes and recommend corrective action.
Resolve complex or escalated accounts independently.
Partner with Revenue Cycle and clinical leadership to implement clean claim strategies.

Team Support, Training & Knowledge Sharing

Provide guidance and coaching to coding and billing staff.
Deliver training and audit feedback.
Ensure adherence to SOPs, payer rules, and compliance standards.
Communicate payer and regulatory updates to staff and leadership.

Collaboration & Communication

Act as escalation point for complex issues.
Serve as liaison between providers, operations, and Revenue Cycle teams.
Participate in continuous improvement initiatives.

Qualifications

Active coding certification required (CPC, CCS, CRC, RHIA, or RHIT).

48 years Revenue Cycle experience with specialty coding focus preferred
Strong expertise in Radiation Oncology, Urology, Imaging preferred
Strong knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care.
Bachelors degree or equivalent experience preferred

Prior Lead, Senior Coder, or Auditor experience preferred
Experience with GE Centricity, Unlimited financials and Power BI
Strong analytical, organizational, and communication skills
Ability to influence through expertise in a fast-paced environment

What is expected of you and others at this level

• Takes the lead in effectively applying and teaching new processes and skills in order to accomplish a wide variety of assignments

• Comprehensive knowledge in technical or specialty area

• Ability to apply knowledge beyond own areas of expertise

• Performs the most complex and technically challenging work within area of specialization

• Preempts potential problems and provides effective solutions for team

• Works independently to interpret and apply company procedures to complete work

• Provides guidance to less experienced team members
  

Anticipated hourly range:$22.30 - $28.80 USD

Bonus eligible:No

Benefits:Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage

• Paid time off plan

• Health savings account (HSA)

• 401k savings plan

• Access to wages before pay day with myFlexPay

• Flexible spending accounts (FSAs)

• Short- and long-term disability coverage

• Work-Life resources

• Paid parental leave

• Healthy lifestyle programs

Application window anticipated to close: 07/05/2025 *if interested in opportunity, please submit application as soon as possible.

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidates geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

May have team leader responsibilities but does not formally supervise.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.