Director of Revenue Cycle

VALLEY-WIDE HEALTH SYSTEMS INC•Alamosa, CO

1d•$103,772 - $129,715•Onsite

About The Position

Valley-Wide Health Systems, Inc. is seeking an experienced and strategic Director of Revenue Cycle to lead revenue cycle operations across Valley-Wide Health Systems. This role provides leadership and oversight of revenue cycle performance while supporting financial sustainability, regulatory compliance, and efficient operations across our organization.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required
7–10 years of progressive healthcare revenue cycle experience, including at least 5 years in a director-level or senior leadership role
Experience managing revenue cycle operations in a high-volume healthcare environment
FQHC or ambulatory healthcare experience highly preferred
Strong knowledge of FQHC PPS reimbursement, Sliding Fee Discount Program requirements, and HRSA guidelines
Knowledge of CPT, ICD-10-CM, CDT, DSM-5, Medicare, Medicaid, and commercial payer requirements
Experience with electronic billing systems, clearinghouses, practice management systems, and EHR platforms such as NextGen
Strong analytical, financial, leadership, communication, and problem-solving skills
Ability to effectively lead teams and collaborate across departments
Commitment to Valley-Wide’s mission and the communities we serve

Nice To Haves

Master’s degree preferred
Professional certification such as CRCP, CPB, CPC, CHFP, or FHFMA preferred

Responsibilities

Lead organization-wide revenue cycle strategy and operations
Monitor key performance indicators, including A/R, denial rates, clean claims, collections, and encounter-to-cash performance
Identify opportunities to improve reimbursement, reduce denials, and strengthen revenue cycle processes
Support revenue cycle budgeting, forecasting, reporting, and financial goals
Oversee registration, insurance verification, sliding fee assessments, coding, billing, claims, payment posting, and collections
Ensure compliance with FQHC PPS, HRSA, Sliding Fee Discount Program, Medicare, Medicaid, CMS, HIPAA, and payer requirements
Oversee billing and coding processes across Family Practice, Behavioral Health, Dental, Optometry, Physical Therapy, and other service lines
Partner with Compliance on coding, documentation, and internal audit activities
Lead, develop, and evaluate revenue cycle teams across departments and clinic locations
Establish clear productivity, quality, and performance expectations
Provide education and guidance to staff and providers on documentation, coding, and payer requirements
Collaborate with Clinical, Operations, Finance, IT, and Compliance teams to improve workflows and charge capture
Support optimization of NextGen EHR and Practice Management systems
Oversee provider credentialing and payer enrollment
Maintain relationships with Medicaid MCOs, Medicare, commercial insurers, and other payers
Develop and present revenue cycle dashboards, trends, and performance reports to leadership