Revenue Cycle Director

599d7f2c-ccd4-4853-ba54-3a77c0e05068•Alpine, CA

5h•$113,429 - $160,683•Onsite

About The Position

The Revenue Cycle Director leads the Billing Department and oversees patient access, patient business services, billing, coding, clinical documentation integrity (CDI), and revenue collection. The role works with clinic and ancillary departments—including Dental, Pharmacy, and Behavioral Health—to support clear communication and effective operations. The Director promotes accurate, timely, complete, and compliant charge capture; resolves charging delays or errors; and ensures Charge Description Master output meets payer requirements and organizational pricing strategies to support reimbursement. The Director uses data-driven decision-making, process improvement, change management, and customer relationship management to improve department performance and patient satisfaction. Responsibilities include supervising Billing and Coding staff and the Revenue Cycle Manager; managing coding and CDI performance, education, quality assurance, denial management, and discharged-not-billed work queues; and overseeing compliance with applicable billing, coding, and regulatory requirements. The Director develops department goals, policies, procedures, and performance measures, manages staffing and fiscal targets, and leads projects and information-system improvements. The position reports to the COO and is based onsite in Alpine. The schedule is full-time, Monday through Friday, 8:00 a.m. to 4:30 p.m.; a flexible schedule may be required based on need.

Requirements

Bachelor’s degree in business administration, healthcare administration, finance, accounting, or a related field.
At least 5 years of progressive experience in managed care operations, revenue cycle, or healthcare finance.
Strong background in claims processing, managed care contracting, financial performance management, and team leadership.
Proven success leading large teams and complex cross-functional projects in a healthcare setting.
Excellent communication and interpersonal skills.
Strong analytical skills and advanced computer skills.
Strong team-building, interpersonal, and organizational skills; ability to build effective working relationships across the department, clinic, and public.
Ability to communicate clearly and concisely, address audiences effectively, and exercise balanced judgment.
Ability to prioritize, meet deadlines, take initiative, work proactively in a rapidly changing environment, resolve conflicts, negotiate, and facilitate consensus.
Ability to manage, train, develop, and motivate staff.
Must be at least 18 years old.
Valid driver’s license maintained throughout employment; ability to travel throughout the organization’s service area and to SIHC sites. Reliable transportation and state-required car insurance are also required.
Current certifications and/or licenses appropriate to the position’s required education and profession.
Must demonstrate honesty, trustworthiness, responsibility, sound judgment, attention to detail, confidentiality, professionalism, courtesy, teamwork, and sensitivity to client needs.
Must pass a pre-screening tuberculin skin test or X-ray and blood/urine drug screening; health must be adequate to perform the duties.
Must complete the SIHC application and authorization form and submit both to Human Resources before the closing date.

Nice To Haves

Certified Professional Coder (CPC) certification preferred.

Responsibilities

Supervise Billing and Coding staff and the Revenue Cycle Manager.
Collaborate with technical staff to assess, design, create, modify, and troubleshoot information systems supporting patient accounting and associated operations.
Direct and monitor compliance with applicable regulatory requirements, including OIG and CMS requirements.
Prepare annual department goals and objectives in collaboration with subordinates.
Assist patients, physicians, and department personnel with billing and collections problems.
Represent the department at internal and external meetings concerning Business Services.
Apply change-management, project-management, and continuous-quality-improvement practices.
Direct, administer, coordinate, and supervise patient business services functions.
Develop system-wide policies and procedures to improve efficiency, reduce variation, and increase patient satisfaction.
Optimize clinic patient revenue.
Lead system and professional-fee coding and clinical documentation integrity (CDI).
Help formulate objectives and strategies for integrating coded clinical information in support of patient care, teaching, research, and resource management.
Serve as a coding subject matter expert for business operations and clinical committees.
Manage discharged-not-billed (DNB) work queues daily to consistently meet targets.
Ensure appropriate staffing levels and adherence to fiscal targets.
Develop and manage coding and CDI performance indicators and metrics.
Oversee quality assurance and productivity programs for coding and CDI staff.
Analyze coding and performance metrics using working knowledge of ICD, CPT, and MS-DRG classifications and groupers.
Direct instructional and educational activities.
Promote compliance with CMS, third-party payer, NCD, LCD, coding, and billing requirements.
Coordinate ongoing CDI education for new staff, physicians, coders, nurses, and allied health professionals.
Provide input on coding and medical-record documentation guidelines, standards, policies, and procedures to support regulatory, payer, and organizational compliance.
Oversee coding denial management activities.
Manage AI technology to improve work and revenue outcomes.
Lead personnel, including hiring and performance evaluations; oversee training programs and identify training needs.
Develop short- and long-term departmental goals with executive leadership, department directors, and the Clinic Administrator.
Comply with SIHC policies and procedures and perform other duties as assigned.