Revenue Cycle Management Director

Urology Centers of Alabama • Homewood, AL

2d

About The Position

The Director of Revenue Cycle Management (RCM) provides enterprise-level leadership and strategic direction for all revenue cycle operations at Urology Centers of Alabama (UCA). The position is accountable for the performance, integrity, and continuous improvement of the full revenue cycle, from charge capture and coding through billing, collections, and reimbursement. The Director establishes revenue cycle strategy, performance standards, monthly reporting, and long-term optimization initiatives across UCA entities and service lines, aligning operations with organizational financial goals, regulatory requirements, and healthcare revenue-cycle best practices.

The Director partners with executive leadership, physicians, clinical operations, compliance, IT, and finance to support sustainable revenue growth, mitigate compliance risk, and improve operational efficiency. The role oversees front desk collections, prior authorization, benefits verification, coding accuracy, denial management, payment posting, payer contract performance, reimbursement optimization, and EMR revenue integrity auditing. The Director develops and monitors KPIs, leads system and process transformation initiatives, and provides executive-level reporting and analysis to the CFO and senior leadership team. This position supervises RCM Managers and subordinate staff.

Requirements

• 7–10 years of progressive healthcare revenue cycle experience in a large-scale corporation (greater than $100 million), with oversight of multiple ancillary revenue streams.
• At least 5–10 years in a leadership role.
• Demonstrated expertise in revenue cycle performance metrics, including A/R days, denial rates, net collection rate, cash acceleration, and reimbursement optimization.
• Strong knowledge of payer contracts, reimbursement methodologies, and regulatory requirements, including CMS, HIPAA, OIG, Medicare, Medicaid, and commercial payers.
• Proven ability to lead enterprise-wide initiatives, drive process improvement, and implement system or workflow transformations.
• Experience partnering with physicians, clinical leadership, finance, compliance, and IT in a complex healthcare organization.
• High proficiency with EMR and practice management systems and related revenue cycle technology.
• Excellent analytical, communication, and executive-level reporting skills.
• Ability to manage multiple priorities in a fast-paced, highly regulated healthcare environment.

Nice To Haves

• Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or a related field.
• CPC, CCS, CPMA, or similar coding or compliance certification.

Responsibilities

• Provide enterprise-level strategic leadership and oversight for revenue cycle operations, including registration, charge capture, coding, billing, claims submission, payment posting, denials management, and collections.
• Develop and execute strategies to maximize reimbursement, reduce revenue leakage, and improve cash flow.
• Establish, monitor, and report KPIs, including days in A/R, clean claim rate, denial rate, net collection rate, and reimbursement variance.
• Lead ongoing EMR audits to ensure clinical documentation supports billed services, medical necessity, and payer and regulatory compliance.
• Partner with physicians and clinical leadership to address documentation gaps, coding accuracy, and workflow inefficiencies identified through EMR audits.
• Oversee pre- and post-billing audits to validate charge capture for office visits, procedures, diagnostics, surgeries, and ancillary services.
• Ensure EMR templates, order sets, and workflows support compliant, efficient, and standardized revenue cycle processes across locations.
• Audit reimbursements to verify alignment with payer contracts, fee schedules, and applicable regulations.
• Identify underpayments and overpayments and lead recovery, appeal, and refund processes as needed.
• Monitor payer trends, reimbursement changes, and regulatory updates affecting urology services.
• Collaborate with Compliance and Legal teams to mitigate financial and regulatory risks related to coding, billing, and reimbursement.
• Oversee denial prevention and appeals strategies, including root-cause analysis and corrective action plans.
• Analyze denial trends and implement system, documentation, and workflow improvements to reduce recurrence.
• Ensure timely follow-up and resolution of denied, delayed, or unpaid claims.
• Lead, mentor, and develop revenue cycle leadership and staff, fostering accountability, compliance, and continuous improvement.
• Collaborate with physicians, clinical teams, IT, and Finance to align documentation, coding, and billing practices.
• Advise executive leadership on revenue integrity, reimbursement risk, and performance improvement opportunities.
• Prepare and present comprehensive revenue cycle performance and audit reports to executive leadership.
• Provide actionable insights on reimbursement variances, audit findings, and revenue optimization opportunities.
• Support budgeting, forecasting, and strategic planning initiatives related to revenue cycle operations.
• Supervise RCM Managers and subordinate staff.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed