Revenue Cycle Director

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients-and our team. Every employee plays a vital role in living out our promise: We care. You belong.

Position Summary

The Revenue Cycle Director provides strategic and operational leadership for all revenue cycle, quality assurance/improvement, credentialing, and related administrative functions within the organization. This position is responsible for optimizing financial performance, improving operational efficiency, ensuring regulatory compliance, and advancing quality initiatives in alignment with the mission, vision, and strategic goals of the organization.

This role oversees multidisciplinary teams responsible for billing, coding education and auditing, credentialing, quality assurance/improvement, care coordination, case management, and healthcare metrics reporting. The Director collaborates closely with executives, clinical leadership, compliance, and external stakeholders to support high-quality patient care, financial sustainability, and organizational excellence.

This role requires strong leadership, analytical, and communication skills, as well as expertise in ambulatory healthcare operations, revenue cycle management, quality programs, and regulatory compliance within a Federally Qualified Health Center (FQHC) or similar healthcare environment.

Essential Job Functions

Revenue Cycle Leadership and Financial Performance

• Provides strategic direction and operational oversight for all revenue cycle functions, including billing, coding, collections, credentialing, and reimbursement optimization.
• Establishes annual departmental goals, financial targets, and performance benchmarks using industry standards and best practices.
• Aligns departmental processes and objectives with organizational strategic priorities.
• Monitors key performance indicators (KPIs), productivity metrics, denial trends, reimbursement patterns, and financial outcomes to drive continuous improvement.
• Develops and implements corrective action plans to address operational inefficiencies, compliance concerns, and revenue cycle risks.
• Ensures accurate and timely billing practices in accordance with payer requirements, federal and state regulations, and organizational policies.
• Oversees payer enrollment and credentialing activities to ensure uninterrupted provider participation and reimbursement.
• Regularly reports to executive team regarding financial performance, quality metrics, operational initiatives, and departmental goals.
• Participates in strategic planning, budgeting, forecasting, and organizational initiatives.
• Assists leadership in identifying opportunities for growth, improvement, and excellence.

Leadership and Staff Management

• Provides direct supervision, leadership, mentorship, and performance management for the Billing, Credentialing, Coding Education/Auditing, and Quality departments.
• Fosters a collaborative, accountable, and patient-centered work environment focused on professional growth and continuous improvement.
• Conducts regular staff meetings, evaluations, coaching sessions, and professional development planning.
• Promotes effective communication and collaboration across departments and multidisciplinary teams.

Quality Assurance and Improvement

• Develops, implements, and maintains the organization's annual Quality Assurance and Quality Improvement (QA/QI) Program.
• Oversees quality initiatives related to patient satisfaction, clinical outcomes, operational performance, and regulatory compliance.
• Monitors and evaluates patient satisfaction survey data and leads improvement initiatives at the provider and site levels.
• Collaborates with clinical and operational leadership to improve performance in designated quality measures and value-based care initiatives.
• Uses Uniform Data System (UDS) metrics and other healthcare quality indicators to guide organizational improvement strategies.
• Leads the Interdisciplinary Quality Improvement Committee (IQIC) and related quality management activities.
• Supports and maintains organizational participation in quality recognition and accreditation programs, including Patient-Centered Medical Home (PCMH) recognition through the National Committee for Quality Assurance (NCQA).
• Oversees value-based care contracts and partnerships with external organizations, including Accountable Care Organizations (ACOs), managed care organizations, and commercial insurance providers.
• Monitors performance metrics tied to value-based reimbursements and quality programs.

Compliance

• Ensures compliance with all applicable federal, state, and local regulations, including HIPAA/HITECH, OSHA, HRSA/BPHC requirements, FTCA guidelines, and other healthcare regulatory standards.
• Collaborates with executive leadership and the VP of Compliance to support compliance and risk management initiatives.
• Ensures organizational practices and operational decisions adhere to legal, ethical, and professional standards.
• Supports organizational efforts to maintain nonprofit compliance and protect the organization's 501(c)(3) tax-exempt status.

Role Specific Essential Skills/Competencies

• Comprehensive knowledge of revenue cycle management principles, medical billing, coding, credentialing, and reimbursement processes.
• Knowledge of ambulatory care, family practice, and community health center operations.
• Strong understanding of quality assurance, quality improvement, and risk management
• Working knowledge of HIPAA/HITECH regulations, HRSA requirements, NCQA PCMH standards, and OSHA guidelines.
• Strong organizational, problem-solving, and decision-making skills.
• Excellent interpersonal, communication, and leadership abilities.
• Ability to work independently while effectively managing multiple priorities and deadlines.
• Demonstrated commitment to diversity, equity, inclusion, and culturally competent care.
• Proficiency with Microsoft Office applications and healthcare-related electronic systems.
• Ability to analyze financial, operational, and quality data.
• Commitment to ongoing professional development and continuing education.

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Nursing, Public Health, Finance, or a related field.
• Three (3) or more years of progressive leadership experience in revenue cycle management, healthcare operations, quality management, or related healthcare administration.
• Clinical background with healthcare experience in an ambulatory care, community health, or related healthcare setting required.

Preferred Qualifications

• Master's degree in a relevant field.
• Five (5) or more years of progressive leadership experience in related roles.
• Experience in an ambulatory care environment strongly preferred.
• Experience with PCMH standards and accreditation processes preferred.
• Experience managing value-based care programs and payer relationships preferred.

Why Join Community Clinic?

• Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!
• Excellent Benefits Package including:
  • Health, vision, Dental and Life Insurance
  • 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
  • Paid Time Off and Holidays
  • Employee Discounts for Care

In-Person Monday - Friday 8:00 AM - 5:00 PM
40 - Hours