Director of Revenue Cycle

Direct and actively oversee operations across all revenue cycle functions, including scheduling, registration, insurance verification, coding, charge capture, billing, claims processing, payment posting, denials, and collections. Monitor work queues, productivity, and quality metrics to ensure timely claim submission and follow-up. Identify workflow bottlenecks and implement process improvements to reduce delays and revenue leakage. Lead denial prevention and resolution efforts, including root cause analysis and corrective action plans. Review aging reports and high-dollar accounts to ensure appropriate and timely follow-up. Partner with coding, clinical, and payer relations teams to address recurring denial trends. Ensure adherence to federal, state, and payer regulations related to billing, coding, and collections. Oversee internal audits for coding accuracy, documentation integrity, and billing compliance. Stay current on payer policy changes and regulatory updates, translating them into operational processes. Monitor key performance indicators such as days in A/R, clean claim rate, denial rate, net collection rate, and cash acceleration. Develop and execute action plans to improve underperforming metrics. Prepare and present regular performance reports for executive leadership. Directly supervise revenue cycle managers and supervisors; provide coaching, performance feedback, and accountability. Support staff training on systems, workflows, payer requirements, and compliance standards. Foster a culture of service, accuracy, urgency, and continuous improvement. Work firsthand within revenue cycle systems (EHR/PM systems, clearinghouses, payer portals) to troubleshoot issues and optimize workflows. Lead and participate in system upgrades, implementations, and revenue cycle technology enhancements. Develop and maintain standardized policies, procedures, and job aids. Partner with clinical departments, patient access, HIM, compliance, and finance to ensure accurate charge capture and documentation.