Clinical Operations and Revenue Cycle Specialist
Job Summary
The Clinical Operations and Revenue Cycle Specialist will focus on clinical and quality initiatives, faculty experience, revenue cycle, and external engagement. This position places a central role in supporting operational and quality improvement projects, redesigning and standardizing the faculty orientation experience, formalizing Emergency Department visits with external organizations into a consulting model, and partnering with department leadership to support revenue cycle optimization.
Key Responsibilities
Lead operational and quality improvement projects across Emergency Medicine clinical operations, ensuring alignment with departmental goals and mission.
Partner with clinical leaders, faculty, and operational stakeholders to identify workflow inefficiencies, quality gaps, and operational risks, and develop data-driven solutions.
Support continuous improvement initiatives by tracking outcomes, defining metrics, and reporting progress to leadership.
Revise, standardize, and maintain the faculty orientation program, ensuring consistent, high-quality onboarding experience across clinical, academic, and operational domains.
Collaborate with departmental leaders to ensure orientation content reflects current workflows, documentation standards, quality expectations, and compliance requirements.
Serve as a key resource for new faculty during onboarding, supporting early adoption of best practices in clinical operations, documentation, and departmental processes.
Formalize ED site visits and engagements with external organizations into a structured consulting model, including standardized scopes of work, deliverables, timelines, and reporting frameworks.
Support operational, financial, and analytical components of external engagements to ensure value delivery and alignment with departmental strategy.
Partner with department leadership to track outcomes and assess opportunities for growth and sustainability of external consulting activities.
Monitor revenue cycle performance and collaborate with department leadership and CU Medicine to identify gaps and improvement opportunities.
Create reports, summarize information, and analyze billing trends including CPT code usage, payer mix, write-offs, denials, days in A/R, and date of service vs date of post.
Interface with CU Medicine to ensure that billing and collection for the professional services of the Department achieves appropriate and optimal reimbursements.
Provide assistance in updating/educating of billing faculty to changes in CPT codes, contracted reimbursement rates, coding or compliance issues.
Aid in interpreting and integrating current compliance directives and policies to ensure that billing faculty are in compliance.
Work with compliance staff in the auditing of provider documentation and issue resolutions.
Qualifications
Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Public Health, or a related field.
Minimum of 3 years of progressive experience in healthcare operations, clinical administration, quality improvement, revenue cycle, or healthcare analytics.
Master’s degree in Healthcare Administration, Business Administration, Finance, Public Health, or a related field preferred.
Fellowship in Administration preferred.
Demonstrated experience leading or supporting operational and quality improvement projects in a clinical environment.
Experience working with physicians and clinical leaders, preferably within an academic medical center or Emergency Medicine setting.
Proven ability to analyze data, prepare reports, and present findings to leadership.
Excellent written and verbal communication, with the ability to translate complex operational and financial concepts to clinical and executive stakeholders.
Advanced analytical and problem-solving skills.
High attention to detail with strong organizational skills.
Ability to work collaboratively across clinical, administrative, and financial teams.
Conditions of Employment
Applicants must be legally authorized to work in the United States without requiring sponsorship.
We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply.
Background Check Statement
The University will conduct background investigations for all prospective employees. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.
Equal Employment Opportunity Statement
The University of Colorado is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply.
ADA Statement
The University of Colorado will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.
Vaccination Statement
CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.