Director of Revenue Cycle Management

3 Days Old

Duration: 6+ months Compensation: $175-$250/hr Location: 100% Remote
Position Summary: The Director of Revenue Cycle Management (RCM) is responsible for overseeing the entire revenue cycle process for a multi-facility health system, from patient access and charge capture to billing, collections, and reimbursement. This position ensures the financial health of the organization by optimizing cash flow, reducing denials, and maintaining regulatory compliance. The director collaborates closely with clinical and administrative leadership to enhance efficiency, patient satisfaction, and financial performance.
Key Responsibilities:
Strategic Leadership Develop and implement the revenue cycle strategic plan in alignment with the organization's overall financial goals. Monitor industry trends and adjust RCM strategies to maintain best practices and competitive performance. Lead enterprise-wide revenue cycle improvement initiatives to enhance efficiency and accuracy. Operational Oversight Direct all aspects of the revenue cycle including: Patient access (registration, pre-authorization, insurance verification) Medical coding and charge capture Billing and claims processing Accounts receivable management Denial management Patient collections and customer service
Monitor revenue cycle KPIs and ensure performance targets (e.g., days in A/R, denial rates, collection percentages) are met or exceeded. Oversee implementation and optimization of RCM technology (e.g., EHRs, billing systems, clearinghouses). Compliance & Risk Management Ensure compliance with federal, state, and payer-specific billing regulations, including HIPAA, Medicare/Medicaid, and commercial insurer rules. Conduct regular audits and risk assessments to identify and mitigate compliance gaps. Serve as liaison during payer audits or inquiries. Team Management Lead and mentor a cross-functional team, fostering a culture of accountability and continuous improvement. Collaborate with Human Resources to recruit, train, and retain high-performing RCM staff. Establish departmental goals and evaluate team and individual performance. Financial Reporting & Analysis Provide regular reports to the CFO and executive leadership on RCM performance, trends, and forecasts. Analyze financial and operational data to inform strategic decision-making. Support annual budgeting and financial planning processes. Qualifications:
Experience: Minimum 7-10 years of progressive experience in healthcare revenue cycle operations. At least 5 years in a leadership or management role within a hospital or integrated health system. Experience with both professional and facility billing strongly preferred. Proven success in managing large teams and multi-site operations. Bachelor's degree in Healthcare Administration, Finance, Accounting, Business, or related field required. Master's degree (MBA, MHA, or related) preferred. Technical Skills: Proficient in healthcare billing software, electronic medical record (EMR) systems (e.g., Epic, Cerner), and Microsoft Office Suite. Strong understanding of payer rules, ICD-10, CPT, HCPCS coding, and reimbursement methodologies (DRG, APC, etc.). Experience with data analytics platforms and dashboard tools is a plus. Key Competencies: Strategic thinking and problem-solving Leadership and team development Financial acumen Attention to detail and analytical skills Strong interpersonal and communication skills Change management and adaptability Commitment to patient-centered and compliant care delivery Working Conditions: Primarily office-based with periodic site visits to hospitals, clinics, and RCM centers. May require extended hours to meet deadlines or address urgent issues. Hybrid or remote flexibility depending on organizational policy.
Apply
Location:
Columbus, OH, United States
Category:
Management Occupations

We found some similar jobs based on your search