Revenue Cycle Lead (AAPC CPC Required) Nevada Pediatric Specialists - 3.2 Henderson, NV Job Details Full-time $22 - $30 an hour 11 hours ago Benefits Paid holidays Dental insurance 401(k) Paid time off Vision insurance Opportunities for advancement Qualifications Appeals Healthcare staff management Medicare Team leadership Professional ethics Coaching Job-specific skills training (staff training program) CMS Regulatory compliance in claims processing HIPAA Healthcare documentation compliance audits Implementing healthcare compliance training programs Certified Professional Coder Team development CMS regulatory compliance Supervising experience Medicare regulations Healthcare privacy protection Mentoring Medical credentialing Medical insurance appeals management Leading team collaboration initiatives Developing training programs for medical billing and coding teams Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medical claims submission Medicaid Medical Billing Certification Productivity software Quality audits Full Job Description 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