Manager, Revenue Cycle Operations

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

What You'll Do

The Manager, Revenue Cycle Operations leads the day-to-day performance of Imagine Pediatrics’ billing and coding operations, overseeing Billing and Coding Supervisors and the broader coding and billing team to ensure consistent quality, productivity, timeliness, and compliance.

This is a hands-on people and operations role for an experienced Revenue Cycle leader with strong coding and billing expertise — someone who can coach frontline leaders, resolve complex operational issues, and partner across Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, and Payer/Partner teams as the company scales.

In this role, you will:

Revenue Cycle Operations & Leadership

Lead day-to-day billing and coding operations across multiple markets, payers, service lines, and payment models, with direct management oversight of Billing and Coding Supervisors

Monitor coding queues, billing worklists, claim submission, denials, rejections, and operational backlogs; maintain staffing and capacity planning to meet service levels

Serve as a credible technical resource — applying strong knowledge of CPT, ICD-10-CM, HCPCS, payer edits, and coding compliance — to evaluate complex operational issues

Serve as the escalation point for complex billing, coding, workflow, staffing, and payer-related issues that exceed supervisor-level resolution, and coordinate cross-functional resolution of issues blocking claims

Partner with Revenue Integrity and Compliance on advanced auditing, policy interpretation, or integrity investigations

Ensure operational controls and follow-through as new workflows, payer requirements, or audit findings are introduced

Perform other duties as assigned

Team Leadership & Development

Lead, coach, and develop Billing and Coding Supervisors and their teams, establishing clear expectations for performance, accountability, and growth

Build supervisory leadership capability through coaching in people management, prioritization, delegation, and problem-solving

Establish a consistent management cadence (huddles, one-on-ones, performance reviews) and translate department goals into clear KPIs and execution plans

Identify performance gaps early and implement coaching, development plans, or corrective actions; develop high performers and succession readiness

Support workforce planning, hiring, onboarding, and training as operations scale

Foster a culture of shared accountability, collaboration, and continuous improvement

Performance Management & Process Improvement

Own and monitor operational Revenue Cycle KPIs — coding productivity and quality, turnaround time, backlog, denials, and worklist performance

Use data and Analytics partnership to identify risks, capacity constraints, and improvement opportunities; establish action plans with clear owners and timelines

Monitor whether corrective actions produce sustained improvement, and report performance, risks, and action plans to Revenue Cycle leadership

Maintain and improve Revenue Cycle workflows, SOPs, and controls; lead practical improvements that increase efficiency and scalability

Diagnose whether operational issues stem from people, process, technology, payer requirements, or cross-functional dependencies, and coordinate the right response

Support readiness for new markets, payers, and programs, and escalate systemic issues requiring broader organizational or technical intervention

Cross-Functional Partnership

This role partners closely with Revenue Integrity, Analytics, Compliance, Credentialing, Clinical Operations, Payer/Partner teams, and Product/Technology to resolve issues, implement changes, and drive results — while maintaining clear ownership of Revenue Cycle execution.

What You Bring & How You'll Qualify

7+ years of progressive Revenue Cycle experience

Substantial coding and billing operations experience required

3+ years of direct people leadership experience, including managing supervisors or other frontline leaders

Certified Professional Coder (AAPC or AHIMA) required

CPPM, CPCO, or CHFP preferred

Demonstrated ability to manage coding operations — productivity, quality, turnaround time, backlog, and denials

Strong working knowledge of CPT, ICD-10-CM, HCPCS, documentation requirements, payer edits, and coding compliance principles

Ability to evaluate operational issues, interpret QA findings, and determine when escalation to Revenue Integrity or Compliance is needed

Demonstrated ability to coach, hold accountability, and develop frontline leaders and high performers

Proven ability to lead through others and build team capability across multiple payers, markets, and service lines

Strong communication and relationship-management skills across clinical, operational, technical, and compliance teams

Experience with Athenahealth or a comparable EHR/practice management platform strongly preferred

Experience in pediatric, value-based, or high-growth environments is a plus

What We Offer (Benefits + Perks)

The role offers a base salary range of $100,000 - $130,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

Competitive medical, dental, and vision insurance

Healthcare and Dependent Care FSA; Company-funded HSA

401(k) with 4% match, vested 100% from day one

Employer-paid short and long-term disability

Life insurance at 1x annual salary

20 days PTO + 10 Company Holidays & 2 Floating Holidays

Paid new parent leave

Additional benefits to be detailed in offer

What We Live By

We’re guided by our five core values:

Our Values:

Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.

Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.

Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.

Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.

One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental