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Position Title
Revenue Cycle Lead (AAPC CPC Required)
Department
Revenue Cycle / Billing
Location
Henderson, NV
Employment Type
Full-Time
Pay Range
$22.00 - $30.00 per hour DOE
Position Summary
Nevada Pediatric Specialists is a locally owned, provider-owned pediatric practice with established locations in both Henderson and Las Vegas, Nevada. As a growing organization, we are committed to delivering exceptional patient care while maintaining the highest standards of quality, compliance, operational excellence, and customer service.
We are seeking an experienced and highly motivated Revenue Cycle Lead (AAPC CPC Required) to serve as a key leader within our Billing and Revenue Cycle Department. This position is ideal for a Certified Professional Coder (CPC) who has demonstrated success in medical billing, coding, staff training, compliance, process improvement, and healthcare operations.
We are looking for more than simply a biller.
We are seeking a trusted leader and operational partner who will work closely with the Revenue Cycle Manager to support billing and coding operations, train and mentor staff, maintain compliance with federal, state, and payer requirements, develop and manage SOPs, and help drive continuous improvement throughout the organization.
The ideal candidate is someone who embraces accountability, takes initiative, and leads by example. This individual will help uphold our high standards while supporting the continued growth of the practice through strong leadership, staff development, regulatory compliance, and operational excellence. They will play a key role in ensuring efficient workflows, coding accuracy, revenue integrity, and a culture of teamwork and professionalism across departments.
This is an opportunity for a motivated professional to make a meaningful impact in a growing pediatric organization while helping shape the future of our revenue cycle operations.
What Makes Someone Successful in This Role
Our organization follows the principles of:
Hungry
- Takes initiative without being asked
- Looks for opportunities to improve processes
- Demonstrates strong work ethic and accountability
- Finds solutions rather than waiting for direction
Humble
- Team-first mentality
- Coaches and supports coworkers
- Accepts feedback professionally
- Leads through service and collaboration
Smart
- Strong emotional intelligence
- Excellent communication skills
- Builds positive working relationships
- Effectively navigates challenging situations
Essential Duties and Responsibilities
Revenue Cycle Operations
- Assist with oversight of daily billing operations
- Monitor claim status, denials, appeals, and aging accounts
- Identify trends impacting reimbursement and revenue
- Support payer communication and issue resolution
- Assist with accounts receivable follow-up activities
Coding & Compliance
- Review coding accuracy and documentation compliance
- Provide coding guidance to providers and staff
- Assist with internal audits and quality reviews
- Maintain knowledge of payer regulations and industry changes
- Help ensure compliance with federal, state, and payer requirements
Regulatory Compliance & Risk Management
- Ensure adherence to HIPAA, HITECH, CMS, OIG, and other applicable federal healthcare regulations.
- Maintain working knowledge of Nevada Medicaid billing requirements and payer-specific policies.
- Monitor compliance with documentation, coding, billing, and reimbursement guidelines.
- Assist with internal audits, compliance reviews, and corrective action planning.
- Identify compliance risks and recommend appropriate workflow improvements.
- Support provider and staff education related to regulatory updates and billing requirements.
- Promote departmental accountability, confidentiality, and ethical business practices.
Leadership & Training
- Train and onboard billing and front office staff
- Provide ongoing coaching and development
- Assist with employee performance accountability
- Serve as a resource for workflow and process questions
- Promote a positive and professional team culture
SOP & Process Management
- Create, update, and maintain departmental SOPs
- Identify workflow inefficiencies and recommend solutions
- Lead process improvement initiatives
- Assist with special projects and operational improvements
Administrative Support
- Support accounts payable functions
- Assist with credentialing and administrative projects
- Collaborate with department managers and providers
- Perform additional duties as assigned
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
- Revenue cycle workflows
- Proficient in Microsoft Office applications
- Strong organizational and time management skills
- Excellent 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
- Pediatric billing and coding experience.
- Nevada Medicaid billing experience.
- Experience conducting provider or staff compliance education.
- Experience developing compliance-related policies and SOPs.
- Additional AAPC certifications (CPB, CPPM, CPMA, CPC-I)
Personal Characteristics We Value
We are seeking a professional who is:
- Honest and ethical
- Dependable and accountable
- Detail-oriented
- Solution-focused
- Organized and self-motivated
- Adaptable and positive
- Committed to continuous learning
- Passionate about helping teammates succeed
Important Requirement
Applicants must possess an active AAPC Certified Professional Coder (CPC) credential.
NHA coding certifications, billing certificates, or non-AAPC coding credentials do not meet the minimum qualification requirements for this position.
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
Learn more about this Employer on their Career Site
