Director of Front-End Revenue Cycle & Clinical Compliance (DME / Order Quality)- 254048

Director of Front-End Revenue Cycle & Clinical Compliance (DME / Order Quality)

Remote (U.S.) | $145,000–$165,000 | M–F Business Hours | Travel Required (Periodic)

We are seeking a highly strategic and hands-on Director of Front-End Revenue Cycle & Clinical Compliance to lead order intake, clinical validation, and payer-policy adherence within a high-growth Durable Medical Equipment (DME) environment.

This leader will own the front-end order lifecycle—from intake through clearance—ensuring every order is accurate, compliant, and audit-ready before it reaches billing or fulfillment. You will play a critical role in reducing denials, improving clean order rates, and strengthening alignment between clinical documentation, payer requirements, and operational execution.

What You’ll Do

• Own and optimize the front-end intake and order validation process (order receipt → clean/cleared order)
• Ensure all orders meet medical necessity, payer policy, and documentation requirements
• Lead interpretation and application of Medicare, Medicaid, LCD/NCD, and commercial payer rules
• Build and enforce quality controls, audit processes, and compliance checkpoints
• Reduce intake errors, prevent downstream denials, and improve first-pass clean order rates
• Oversee clinical documentation validation (CMNs, SWOs, physician orders, etc.)
• Partner cross-functionally with Sales, Clinical, Operations, and Revenue Cycle teams
• Lead, develop, and scale a team focused on intake accuracy, compliance, and workflow discipline
• Use data to drive improvements in cycle time, error rates, and operational bottlenecks

What We’re Looking For

• 5–7+ years of progressive leadership experience in DME, DMEPOS, Revenue Cycle, or Order Management
• Strong expertise in payer policy (Medicare LCD/NCD, Medicaid, commercial plans)
• Deep understanding of medical necessity and clinical documentation requirements
• Proven ability to build structure, enforce standards, and lead operational teams
• Experience improving front-end revenue cycle performance and denial prevention
• Strong analytical mindset with ability to turn data into process improvements
• Comfort operating in a high-volume, regulated, and fast-paced environment

Why This Role

This is a high-impact leadership role where you will directly influence revenue integrity, compliance risk reduction, and operational efficiency by strengthening the very first step of the revenue cycle. You’ll be empowered to build structure, drive accountability, and create scalable processes in a growing organization.

Additional Details

• Full-time, remote within the U.S.
• Standard Monday–Friday business hours
• Travel required to headquarters periodically (initially more frequent, then quarterly)
• Strong leadership visibility and cross-functional influence