Hospital Revenue Cycle Director

A leading healthcare system located in southern Connecticut is now seeking an experienced Hospital Revenue Cycle Director join their accredited medical organization! Known as an award-winning, patient-centered acute care hospital in Connecticut, this 150+ bed facility delivers comprehensive services including a 24/7 emergency department, advanced imaging, minimally invasive surgery, heart and vascular care, comprehensive cancer services, maternity and women’s health, orthopedics, behavioral health, rehabilitation, and primary and specialty care. With a focus on safety, quality, and comfort, it combines state-of-the-art technology with a person-centered care model, earning national recognition for patient experience and clinical excellence, along with full accreditation and multiple quality honors. Convenient outpatient centers, wellness programs, and telehealth options ensure accessible, high-quality care for communities across the region. Reporting to the Chief Financial Officer, the Hospital Revenue Cycle Director leads end-to-end revenue cycle management to maximize reimbursement, accelerate cash flow, and ensure regulatory compliance across patient access, coding/HIM, charge capture, clinical documentation integrity (CDI), billing, collections, denials management, and payer contracting. Daily responsibilities include monitoring KPIs and dashboards (DNFB, AR days, cash, denial rates), driving workqueue throughput, reviewing denials and approving complex appeals, ensuring clean claims and timely submissions, conducting huddles with Patient Financial Services, HIM, and Patient Access, resolving escalations, approving adjustments and refunds, optimizing payer relationships and contract performance, collaborating on charge description master integrity, overseeing prior authorization and medical necessity, enforcing policies aligned with CMS, HIPAA, OIG, and price transparency, and leading continuous improvement using Lean/Six Sigma. The Director partners with clinical and finance leaders on budgeting and forecasts, supports month-end close and audits, leverages EHR/RCM technology (editing, clearinghouse, automation), develops staff through training and productivity management, and champions a patient-centered financial experience. What's Needed to Succeed Degree in Finance, Healthcare Administration, Business, or related field Progressive revenue cycle leadership experience in an acute care setting Advanced knowledge of coding regulations, payer requirements, and reimbursement methodologies Discover a welcoming riverside community in southern Connecticut, offering small-town charm with big-city access, affordable housing, and an easy commute to New Haven, Bridgeport, and major highways. Residents enjoy scenic parks, the Naugatuck River Greenway for biking and walking, vibrant local restaurants and breweries, family-friendly events, and historic architecture that adds character to every neighborhood. With strong schools nearby, quality healthcare options, and a tight-knit, community-focused vibe, this Lower Naugatuck Valley location delivers a convenient, safe, and budget-friendly lifestyle for professionals, families, and retirees alike. This organization is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities. #J-18808-Ljbffr Clinical Management Consultants