Director, Revenue Cycle

Howard University

6d•$194,000 - $241,000

About The Position

The Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions across the Howard University Faculty Practice Plan (FPP) ambulatory academic practice, including patient registration, charge capture, coding, billing, accounts receivable management, denial prevention and resolution, customer service, financial assistance programs, health information management (HIM), credentialing, and revenue integrity. Reporting to the Chief Financial Officer, the Director is responsible for optimizing financial performance, ensuring regulatory compliance, and driving operational excellence through data-driven decision-making, process improvement, and effective internal controls. The Director partners closely with clinical, operational, and finance leaders to enhance the patient financial experience, maximize reimbursement, improve cash collections, and support the organization's academic, clinical, and research missions.

Requirements

Bachelor's degree preferred; an equivalent combination of college coursework and directly related revenue cycle experience will be considered.
Minimum of seven (7) years in revenue cycle management, including senior-level leadership experience in an ambulatory academic practice.
Demonstrated expertise in all aspects of revenue cycle management, including patient access, insurance verification, charge capture, coding, billing, accounts receivable, denial management, collections, reimbursement, revenue integrity, and financial assistance programs.
Strong knowledge of healthcare regulatory requirements, including CMS, Medicare, Medicaid, commercial payer regulations, HIPAA, and applicable federal and state billing and compliance standards.
Advanced understanding of medical coding and reimbursement methodologies, including CPT, HCPCS, ICD-10-CM/PCS, National Correct Coding Initiative (NCCI) edits, fee schedules, and payer-specific billing requirements.
Knowledge of provider enrollment, credentialing, and payer contracting processes, including coordination with managed care organizations and government payers to support timely reimbursement and regulatory compliance.
Strong financial management and analytical skills, including budgeting, forecasting, variance analysis, key performance indicators (KPI) management, revenue cycle benchmarking, and performance reporting.
Advanced proficiency with electronic health record (EHR) systems, practice management systems, revenue cycle applications, and the Microsoft Office Suite, including: Excel (advanced reporting, data analysis, pivot tables, dashboards, and financial modeling), Word, PowerPoint, Outlook, Teams.

Responsibilities

Develop and execute the revenue cycle strategy to support organizational goals, financial sustainability, and operational excellence.
Establish departmental objectives, policies, and performance standards aligned with the organization's mission, regulatory requirements, and industry best practices.
Serve as a strategic advisor to executive, clinical, and operational leadership on revenue cycle performance, risks, and opportunities.
Direct and optimize accounts receivable operations to achieve key performance targets, including Days in Accounts Receivable, Collection Rate, Aging Accounts Receivable, and other revenue cycle benchmarks, while driving cash flow, reducing receivable balances, and improving overall financial performance.
Manage collection agency and vendor relationships to optimize recoveries.
Develop strategies for prospective planning to manage reimbursement for new service lines.
Oversee the maintenance and governance of the Charge Description Master (CDM), ensuring timely and accurate updates to CPT, HCPCS, and ICD coding, charge capture methodologies, reimbursement rules, and regulatory requirements.
Collaborate with clinical, coding, compliance, and finance stakeholders to evaluate coding changes, payer updates, and new services, and implement revisions that support compliant billing practices, revenue integrity, and accurate reimbursement.
Establish monitoring and audit processes to validate charge accuracy, minimize revenue leakage, and ensure alignment with federal, state, and payer-specific requirements.
Design, implement, and evaluate revenue cycle workflows, policies, and performance metrics, ensuring adherence to applicable regulatory requirements and industry standards.
Maintain effective internal controls and documentation practices that support audit readiness and compliant billing.
Participate in setting targets for collections and accounts receivable goals.
Manage the revenue cycle budget and implement cost-saving initiatives.
Develop monthly reporting packets for departments, divisions, and providers to provide transparency around the aged trial balance, collections, aging, and denials.
Ensure timely payer enrollment to mitigate delays with patient access while securing reimbursement for services provided.
Work across the organization on issues related to improving revenue cycle performance.
Collaborate with hospital revenue cycle, external partners, and senior leadership on opportunities for greater efficiencies, streamlined processes, and optimization of the EMR/practice management platform.
Supervise and develop staff, including scheduling, training, performance evaluation, and Human Resources compliance.
Lead process improvement projects, enhance patient financial experience, and support quality systems.