Clinical Operations Manager

R1 RCM, Inc. | Quezon City | PH

Job Summary: The RCM Clinical Operations Manager is responsible for overseeing clinical operations within the revenue cycle management (RCM) process, ensuring that services meet quality, compliance, and efficiency standards. This role involves coordinating clinical workflows, managing teams, and collaborating with stakeholders to optimize operations and achieve organizational goals

Duties and Responsibilities:

  • Leads and directs a staff of 5-6 team leaders that will have individual teams consisting of no more than 20 coders/billing specialists and RCM professionals. Total span of 80-100 FTEs
  • Provide training, mentorship, and performance evaluations to ensure team effectiveness.
  • Monitor daily clinical operations to ensure accuracy, compliance, and efficiency.
  • Develop and implement policies and procedures that align with industry standards and organizational goals.
  • Collaborate with billing, coding, and AR teams to resolve clinical documentation issues
  • Ensure compliance with regulatory requirements, including HIPAA and other healthcare regulations.
  • Conduct audits of clinical documentation to identify gaps and implement corrective actions.
  • Analyze key performance metrics and identify areas for process improvement.
  • Implement strategies to enhance clinical documentation quality and streamline workflows.
  • Work closely with physicians, clinical staff, and clients to address documentation needs.
  • Serve as the primary point of contact for clinical operations-related inquiries.
  • Prepare regular reports on team performance, audit results, and operational efficiency.
  • Present findings and recommendations to senior management

Qualifications:

  • Minimum 5 years of experience in clinical operations, with at least 2 years in a managerial role.
  • Strong knowledge of medical coding (ICD-10, CPT), billing processes, and clinical documentation improvement.
  • Certified Professional Coder, Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), CIC or equivalent.

Eligibility Criteria for Internal applicants:

  • Open to all Team Lead - Clinical employees
  • Must be a regular employee or at least 6 months tenure in current role
  • No active or ongoing disciplinary actions
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits. Whats in it for you?
  • Competitive Total Rewards Package
  • Target variable incentives
  • Medical Plan (HMO) from Day 1 of employment with free dependents
  • Life insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Night Differential offered
  • Employee Referral Program
  • All Mandatory Statutory Benefits
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Companys employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any persons age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. Visit us on Facebook: https://www.facebook.com/r1rcmphilippines #R1Philippines #AllTogetherBetterinR1PH

Information :

  • Company : R1 RCM, Inc.
  • Position : Clinical Operations Manager
  • Location : Quezon City
  • Country : PH
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Post Date : 2025-05-02 | Expired Date : 2025-06-01

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