Program Director, Clinical Revenue Cycle

HURC•Short Hills, NJ

3d•Remote

About The Position

At HURC, we are transforming how healthcare organizations manage utilization review and the clinical revenue cycle. With deep expertise and a commitment to operational excellence, our team helps healthcare systems streamline processes, strengthen financial performance, and ultimately improve patient care. Healthcare leaders across the industry trust HURC as a strategic partner to navigate the complexities of today’s healthcare environment. Our success is driven by talented professionals who bring clinical insight, operational expertise, and innovative thinking to everything they do. If you’re passionate about making a meaningful impact in healthcare while working alongside industry experts, we invite you to join a team where your knowledge, ideas, and leadership truly matter. Job Description We are seeking a highly strategic and client-facing Program Director with deep expertise in hospital and physician billing, coding and revenue cycle management functions. This role serves as the primary relationship owner for assigned physician and hospital clients while also leading revenue cycle improvement initiatives, implementations, and performance optimization projects. This position is responsible for assigned clients’ success. The ideal candidate understands the full professional revenue cycle, from charge capture and coding through collections, and can confidently translate data into actionable strategies for physician groups and practice leadership. The ideal candidate embraces a ‘what, so what, now what’ methodology for client engagement and management, and is comfortable and confident leading change management initiatives within a health system and/or medical group.

Requirements

5+ years of experience in professional (physician) revenue cycle management
Strong knowledge of CPT, ICD-10, modifiers, and payer guidelines
Bachelor’s degree (BA/BS)
Experience leading client-facing meetings with practice administrators or physician leadership
Proven track record of improving collections, reducing denials, and optimizing billing workflows
Experience managing projects or implementations
Strong analytical and financial acumen
Executive presence and confident communication style
Ability to translate data into strategy
Highly organized with strong follow-through
Comfortable managing multiple clients and priorities
Solution-oriented, proactive mindset

Nice To Haves

CPC, CPMA, or related coding certification
Experience with multi-specialty physician groups
Experience within an RCM vendor environment
Consulting background with experience in both inpatient and outpatient settings

Responsibilities

Serve as the primary point of contact for assigned physician billing clients
Serves as a liaison between Client Site Lead, SMEs, and hospital team members
Lead regularly scheduled and ad hoc business performance reviews
Present performance metrics include, but not limited to: Net Collection Rate Days in A/R Clean Claim Rate Denial Rates Charge Lag & Payment Lag Coding metric performance wRVU
Identify revenue leakage and propose corrective action plans
Manage escalations and ensure timely resolution
Drive client retention and growth opportunities
Lead new client onboarding and revenue cycle transitions
Develop implementation timelines and track deliverables
Oversee workflow redesign and process improvement initiatives
Partner with coding, billing, and operations teams to ensure alignment
Monitor project milestones and ensure deadlines are met
Monitor coding accuracy and documentation trends
Identify undercoding, overcoding, and modifier issues
Analyze denial patterns and implement root-cause solutions
Collaborating with team to ensure compliance and productivity standards
Support internal and external coding audits as needed
Engage, collaborate and support management of related external vendors supporting operations