Position Title: Revenue Cycle Supervisor

Department: Patient Accounts

Position Summary: The Revenue Cycle Supervisor is responsible for overseeing daily operations across key revenue cycle functions, including billing, collections, charge capture, and denial management for an orthopedic outpatient environment. This role ensures optimal financial performance, regulatory compliance, and operational efficiency while supporting Epic Professional Billing (PB) workflows.

The ideal candidate brings strong leadership experience, deep knowledge of Epic PB, and working expertise in orthopedic outpatient revenue cycle operations, including coding fundamentals and revenue integrity practices.

Duties and Responsibilities:

Operational Leadership:

Supervise and lead revenue cycle staff (billing, follow-up, and support functions)
Monitor daily productivity, quality, and KPIs (AR days, denial rates, cash collections)
Ensure timely and accurate claim submission, follow-up, and resolution
Manage work queues (WQs), claim edits, and workflow optimization within Epic PB
Revenue Integrity & Coding Oversight
Partner with coding and clinical teams to ensure accurate charge capture and documentation
Maintain working knowledge of orthopedic outpatient coding (CPT, modifiers, basic ICD-10)
Identify revenue leakage and implement corrective actions (missed charges, underpayments)
Support audits, compliance reviews, and payer trends analysis
Denials & AR Management
Oversee denial management processes, including root cause analysis and prevention strategies
Track and trend denial patterns (authorization, coding, medical necessity, eligibility)
Drive AR resolution and escalation strategies for aged accounts
Epic System Optimization
Utilize Epic PB tools including work queues, claim edits, reporting, and dashboards
Collaborate with analysts on system enhancements, reporting, and automation
Assist in redesigning workflows to improve efficiency and reduce manual work
Communication & Stakeholder Collaboration
Serve as liaison between revenue cycle, clinical operations, coding, and leadership
Communicate performance results, issues, and improvement plans effectively
Lead team huddles, training sessions, and performance coaching

Key Performance Indicators and Standards:

AR Days within target range
Denial rate reduction and prevention
Cash collections vs. goal
Productivity and quality metrics for staff
Charge lag and clean claim rate improvement

Professional & Personal Development:

Participates in on-going system training as assigned by Revenue Cycle Director.
Keep current of industry changes.

Service:

Excellent interpersonal, communication and customer service skills.
Teamwork
Ownership/Accountability
Continuous Performance Improvement.

Qualifications:

Epic Professional Billing (PB) experience – REQUIRED
Orthopedic outpatient (OP) revenue cycle experience – REQUIRED
3+ years of supervisory or management experience in revenue cycle
Working knowledge of:
Outpatient coding (CPT, modifiers, ICD-10 basics)
Revenue integrity principles
Denial management and AR follow-up
Strong understanding of end-to-end revenue cycle workflows
Excellent verbal and written communication skills

Preferred Qualifications:

Experience in high-volume outpatient orthopedic or specialty clinic environments
Familiarity with DME, implants, and “by report” billing scenarios
Experience with managed care (Medicaid, Medicare, Commercial payer workflows)
Knowledge of Epic reporting tools (Work queues, Reporting Workbench, dashboards)
Bachelor’s degree in healthcare administration, Business, or related field

Physical Requirements:

Intermittent (25-35% of the time) walking, standing, bending, sitting and verbally communicating with patients and other OIC healthcare team members
Requires normal range of vision
Requires infrequent lifting up to 25 pounds
Requires prolonged standing or sitting

Work Environment:

Work is performed indoors in a heated, air conditioned, well lighted and clean office setting.