Director, Revenue Cycle Management (RCM)

POSITION: Director, Revenue Cycle Management (RCM)DEPARTMENT: Health Information ManagementSTART: 7/6/26LOCATION: Onsite (Travel)POSITION SUMMARY: The Director of Revenue Management provides enterprise leadership for UCSF Health’s revenue integrity strategy across both hospital (facility) and professional (physician) billing environments. The role oversees the Revenue Integrity (RI) team and is accountable for Charge Description Master (CDM) governance, compliant charge capture, pricing oversight, documentation alignment, revenue monitoring, and proactive mitigation of denial risk.DEPARTMENT OVERVIEW: The Revenue Management Department provides enterprise governance and operational leadership for revenue integrity across this Level I Trauma, Teaching Health System. The team ensures compliant and defensible revenue practices through oversight of charge capture, documentation alignment, coding integration, pricing governance, and CDM/fee schedule management. The department serves as a strategic liaison between operational and technical teams and supports system-wide revenue performance, regulatory readiness, and reimbursement transparency.KEY RESPONSIBILITIES:1. Revenue Integrity Leadership (Essential)· Lead governance, maintenance, and review of the hospital CDM and professional fee schedules; ensure timely reviews and education for clinical and operational departments.· Provide enterprise oversight of charge integrity, reconciliation, late charge monitoring, and charge linkages to reduce preventable denials and ensure accurate charge capture.2. Performance Monitoring & Analytics (Essential)· Establish and monitor revenue-related KPIs, including denial trends, root causes, and upstream risk indicators; report findings to executive leadership.· Conduct pricing analysis, modeling, and compliance reviews to ensure consistency, transparency, and adherence to regulatory requirements.3. Systems & Workflow Optimization (Essential)· Partner with IT, Epic application teams, and clinical systems to embed revenue integrity controls into system design and workflows.· Oversee testing, validation, and implementation of system enhancements to safeguard revenue and reduce manual effort.4. Strategic Planning & Transformation (Essential)· Develop and execute strategic initiatives focused on reducing preventable denials, improving first-pass yield, and supporting revenue cycle transformation.· Contribute to long-range planning for revenue cycle processes, tools, and systems; establish departmental goals, budgets, and staffing plans.5. Leadership & Staff Development (Essential)· Provide leadership, coaching, and performance management for Revenue Integrity and CDM staff; oversee recruitment, workforce planning, and employee relations.6. Policy, Compliance & Governance (Essential)· Develop and maintain policies and procedures related to revenue integrity and revenue cycle functions in alignment with federal, state, and payer requirements.· Serve as an expert resource for Internal Audit, Compliance, Risk Management, Legal, and Business Practices.7. Enterprise Collaboration & Representation (Essential)· Participate in UCSF and UC system-wide committees related to revenue integrity, pricing, and compliance.8. Financial Oversight (Essential)· Manage departmental labor and operating budgets, including a $3M labor and expense budget.9. Problem Solving (Essential)· Develop best-practice charge capture policies and revenue routing solutions.· Resolve complex revenue reporting and trending issues.· Address fee schedule alignment and compliant charge structures for new services or affiliates.QUALIFICATIONS:· Ten (10) years of experience in hospital and professional revenue cycle leadership, CDM maintenance, charge capture, coding, or reimbursement.· Bachelor’s degree in Business, Management, Health Administration, or equivalent experience.· Demonstrated leadership experience in a healthcare setting.· Experience managing CDM, fee schedules, and charge capture processes.· Proficiency with hospital information systems (Epic preferred) and Microsoft Office.· Knowledge of CPT, HCPCS, and revenue codes.· Strong organizational, analytical, communication, and project management skills.PREFERRED QUALIFICATIONS:· Master’s degree in a related healthcare or business field.REQUIRED CERTIFICATIONS (ONE OR MORE):· CPAM (MGMA)· CHRI (AAPC)· CHC (HCCA)· CPC (AAPC)· CCS (AHIMA)SUPERVISORY SCOPE: · Direct supervision: 2 Managers (RC HC MGR 1)· Indirect supervision: 4 RI Analysts (RC HC ANL 4), 9 Service Line Specialists (RC HC ANL 3)· Total department FTEs: 15AMN Healthcare Revenue Cycle Solutions is an EEO/AA/Disability/Protected Veteran EmployerWe encourage minority and female applicants to apply.AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve.Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry. Apply today and one of our team members will be in touch to help you find the role that best fits your skills and goals.Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including: Medical, dental and vision benefitsEarned time off and paid holidaysPaid continuing education time401(K) retirement planningShort-term disability, life insurance, paid jury dutyAccess to the largest network of facilities and providers in the countryIndustry experienced workforce management teamLicensure and certification reimbursement