Senior Revenue Cycle Director

Senior Revenue Cycle Director

The Revenue Cycle Director is a Full-Time, Exempt position that oversees the full revenue cycle, including Patient Access, Business Office, and Revenue Integrity. This leader ensures accurate documentation, charge capture, coding alignment, and compliant billing to optimize reimbursement, reduce denials, and support excellent patient financial experience.

Demonstrates Competency in the Following Areas:

• Provide leadership across Patient Access, Business Office, and Revenue Integrity.
• Develop goals, KPIs, and operational plans to support financial objectives.
• Identify revenue leakage and compliance risks and implement corrective actions.
• Ensure accurate and complete charge capture and documentation.
• Oversee chargemaster maintenance and auditing.
• Monitor underbilling, overbilling, and missed charges.
• Review new services and supplies for proper charge structure.
• Collaborate with HIM/Coding and clinical teams to ensure compliance.
• Implement standardized charge capture processes with reconciliation.
• Ensure coding accuracy and compliance with CMS, Medicaid, Medicare, and payers.
• Conduct audits and provide documentation education.
• Maintain charging system integrity in partnership with IT/IS.
• Oversee preregistration, registration, verification, authorization, and POS collections.
• Monitor accuracy, wait times, and financial counseling processes.
• Resolve issues impacting downstream billing.
• Lead billing, claims submission, payment posting, AR follow-up, and collections.
• Ensure timely and accurate claims to reduce denials.
• Manage appeals and monitor payer trends.
• Optimize AR days, reimbursement, and bad debt processes.
• Analyze denial trends and reimbursement variances.
• Manage RAC, MAC, and commercial audits.
• Partner with PFS on appeals and corrective action plans.
• Develop financial analysis dashboards and reporting tools for leadership.
• Partner with HIM, Coding, Case Management, Clinical Leaders, Finance, and Compliance.
• Educate clinical and operational teams on documentation and reimbursement.
• Serve as a liaison with IT/IS, vendors, and auditors.
• Recruit, train, and evaluate staff across revenue cycle teams.
• Promote accountability, integrity, and continuous improvement.
• Support cross-training and staff engagement.

Requirements

Regulatory Requirements:

• Bachelor's degree required; master's degree preferred.
• 5–7 years of progressive revenue cycle or revenue integrity leadership.
• Experience with Patient Access and Business Office preferred.
• Preferred certifications: RHIA, RHIT, CCS, CHRI, CHAM, CRCR.
• Strong analytical, leadership, and problem-solving skills.

Language Skills:

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

Physical Demands:

• On-site presence required with limited remote flexibility.
• Evening/weekend work may be required for projects.
• Some travel for training or conferences, as needed.
• Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, typewriter, copier, calculator, telephone, fax machine, and general office equipment. Continuous sitting. Occasional standing, walking, and bending within the work areas. Minimal lifting up to 40 pounds.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.