Healthcare Revenue Cycle Director

Colorado Coalition for the Homeless • Denver, CO

2d • $114,980 - $137,977 • Hybrid

About The Position

The Director of Revenue Cycle provides strategic and operational leadership for the Colorado Coalition for the Homeless’ Healthcare Revenue Cycle Department, directly supervising the Accounts Receivable Manager and Clinical Coding Manager. The role ensures coding, charge capture, accounts receivable, denial management, payer performance, and revenue cycle reporting operate as an integrated function, while improving reimbursement, cash flow, compliance, collaboration, and process performance.

The director leads revenue cycle operations and optimization across medical, behavioral health, dental, and vision services. The position oversees coding accuracy, documentation improvement, provider education, audits, claims and payer workflows, reporting, compliance, departmental planning, and budget monitoring. It works closely with organizational leadership, providers, clinical and operations teams, finance, EHR staff, payer representatives, and external partners.

The position has a standard Monday-through-Friday schedule of 8:00 a.m. to 5:00 p.m., with some evening and weekend shifts as required. A hybrid schedule may be available based on business needs. Work involves frequent interpersonal interaction and may involve exposure to direct or vicarious trauma, including escalated behavior, substance use, death, and mental health disorders. The role requires reading computer screens and printed documents, hearing well enough to communicate, writing, typing, and using telephones and online phone systems. Standing, walking, climbing, stooping, kneeling, and lifting, pulling, or pushing occur occasionally; items weighing up to 50 pounds may be lifted.

Requirements

• Bachelor’s degree in healthcare administration, health information management, business, finance, accounting, or a related field; relevant work experience may be substituted for the degree.
• At least five years of progressive healthcare revenue cycle experience, including billing, accounts receivable, denial management, coding, reimbursement, payer compliance, or related functions.
• At least three years of supervisory or management experience in a healthcare revenue cycle, billing, coding, patient financial services, or health information management environment.
• Demonstrated proficiency in Microsoft Office Suite, especially Excel, Word, Outlook, and Teams.
• Comprehensive knowledge of healthcare revenue cycle operations, including clinical coding, charge capture, billing, claims management, accounts receivable, payment posting, denial management, appeals, collections, payer reimbursement, and reporting.
• Technical knowledge of healthcare finance, accounting principles, payer contracts, reimbursement methodologies, Medicare and Medicaid billing rules, and FQHC reimbursement requirements, including PPS, wrap payments, sliding fee scale, and UDS-related reporting considerations.
• Knowledge of ICD-10-CM/PCS, CPT, HCPCS, and CDT coding systems and their impact on billing, reimbursement, compliance, denials, and clinical documentation improvement.
• Ability to interpret revenue cycle data, identify trends and problems, develop corrective action plans, and drive measurable improvements in cash flow, denial reduction, collections, accuracy, and compliance.
• Ability to communicate complex revenue cycle, coding, reimbursement, and compliance information clearly to executive leadership, providers, finance staff, managers, and front-line team members.
• Strong decision-making and critical-thinking skills.
• Exceptional interpersonal and communication skills with a focus on customer service.
• Strong attention to detail; ability to understand and maintain confidentiality and perform work accurately.
• Ability to research, compile, analyze, and disseminate information.
• Sensitivity to diverse populations, particularly underserved communities.
• Ability to perform the position’s essential functions with or without reasonable accommodation and without posing a direct threat to health or safety.

Nice To Haves

• Experience working in or with a community health center, or other safety-net healthcare experience.
• Professional certification such as CPC, CPMA, CRCR, CHFP, RHIT, RHIA, or a similar revenue cycle, coding, auditing, or health information credential.
• Prior experience working in a nonprofit environment.
• Advanced experience with data analysis, dashboarding, and reporting tools.

Responsibilities

• Direct healthcare revenue cycle operations, including clinical coding, charge capture, claims, accounts receivable, denials, appeals, collections, payer follow-up, and reporting.
• Supervise, support, and hold accountable the Accounts Receivable Manager and Clinical Coding Manager, setting priorities, measurable goals, workflows, and resource needs.
• Coordinate accounts receivable and clinical coding functions to align coding accuracy, charge capture, denial prevention, payer follow-up, collections, and reporting.
• Analyze monthly revenue cycle indicators, including days in accounts receivable, collection and denial rates, claim projections, coding accuracy, charge capture trends, aged receivables, and payer performance; present findings and recommendations to organizational leadership.
• Lead revenue optimization and denial-prevention initiatives by identifying root causes, implementing corrective action plans, and maintaining feedback loops with coding, billing, clinical operations, finance, and leadership.
• Oversee coding operations across medical, behavioral health, dental, and vision services, including documentation improvement, provider education, coding audits, charge-capture integrity, and compliance with ICD-10-CM/PCS, CPT, HCPCS, and CDT standards.
• Ensure effective use of NextGen EPM and EHR workflows, including claim-edit logic, scrubbers, payer-specific rules, Background Business Processor tools, batch processing, reporting, and workflow optimization.
• Collaborate with providers, clinical and operations leadership, EHR staff, finance and accounting, payer representatives, and external partners to resolve operational, reimbursement, documentation, and compliance issues.
• Monitor payer behavior, contract performance, reimbursement trends, regulatory changes, timely filing requirements, and payer-specific billing rules; communicate impacts and implement required updates.
• Ensure revenue cycle practices comply with federal and state healthcare regulations, Medicare and Health First Colorado billing requirements, payer contracts, HIPAA, and FQHC billing and reimbursement requirements, including PPS, wrap payments, sliding fee scale reconciliation, and UDS-related considerations.
• Conduct or oversee routine coding, billing, accounts receivable, and workflow audits to verify compliance, identify improvements, and support staff training.
• Identify opportunities to automate, streamline, and standardize processes to improve productivity, cash flow, reimbursement, data accuracy, patient financial experience, and organizational financial performance.
• Lead departmental planning by developing annual goals, performance targets, and operational plans aligned with organizational priorities; develop and monitor the operating budget, identify variances, and collaborate with the CFO and finance on projections and resource planning.
• Perform other job duties as assigned.

Benefits

• Health insurance (HMO or PPO) for eligible employees and dependents, including domestic partner coverage.
• Dental plans and vision insurance.
• Flexible spending accounts.
• Supplemental life insurance.
• Company-paid basic life and AD&D insurance coverage.
• Employee Assistance Program.
• 403(b) retirement savings matching.
• Paid time off, including holidays, sick leave, and vacation.

What This Job Offers

• Job Type: Full-time
• Career Level: Director