Director of Revenue Cycle Management (Chesapeake Specialty Care)
$103,700–$155,500 year
RemoteUnited States
Job Summary
Oversee end-to-end revenue cycle functions including patient access, charge capture, coding, billing, collections, and payment posting for both the medical practice and ambulatory surgery center. Monitor and analyze key performance indicators such as days in A/R, denial rates, and clean claim rates to drive financial performance and minimize denials. Develop policies to optimize revenue capture, manage payer contract analysis, and ensure compliance with federal, state, and specialty-specific billing requirements for ENT, Allergy, Audiology, and Plastic Surgery procedures. Lead and mentor the billing team, establish performance standards, and conduct regular audits to maintain coding accuracy under CPT, ICD-10, and HCPCS guidelines. Prepare regular financial reports, manage the departmental budget, and collaborate with clinical managers and practice administrators on forecasting. Requires a Bachelor's degree in healthcare administration or related field, 7-10 years of progressive revenue cycle experience, and 3-5 years in leadership.
Required Qualifications
- Bachelor's degree in healthcare administration, Business, Finance, or related field
- Minimum 7-10 years of progressive experience in healthcare revenue cycle management
- At least 3-5 years in a leadership/management role
- Experience with multi-specialty physician practice billing
- Proficiency with practice management systems and EHR platforms
- Strong knowledge of CPT, ICD-10, and HCPCS coding systems
- Thorough understanding of payer contracts, reimbursement methodologies, and healthcare regulations
Desired Qualifications
- Experience with ASC/facility billing
- Master's degree in healthcare administration, MBA, or related field
- Professional certification: CPMA, CPC, CRCE-I, or similar
- Experience with ENT, Audiology, and/or Plastic Surgery billing
- Experience with surgical scheduling and authorization workflows
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