Director of Clinical Revenue Cycle Services

Overview

The Director of Clinical Revenue Cycle Services leads end-to-end revenue cycle strategy across a multi-clinic, multi-state organization, focusing on patient access through accounts receivable resolution.

Responsibilities

• Owns end-to-end clinic RCM operations, including patient registration, insurance verification, charge capture, coding, billing, collections, denial management, and payment posting
• Manages key performance indicators (KPIs), such as days in accounts receivable, clean claim rates, denial rates, collection rates, and net collection percentage
• Budgets, forecasts, and analyzes RCM performance
• Optimizes net revenue through denial trend analysis, underpayment identification, and payer-specific performance gap resolution
• Liaises with payers for escalated claims, appeals, and operational issues
• Oversees RCM technology ecosystem, including practice management systems, clearinghouses, and denial management platforms
• Leads a high-performing team of billing supervisors, coders, AR specialists, and patient access personnel
• Oversight of compliance with CMS guidelines, HIPAA, OIG guidance, and payer-specific requirements
• Collaborates with clinical leadership on documentation quality, coding accuracy, and charge capture completeness

Requirements

• 7–10 years of progressive RCM leadership experience in a clinic, physician group, or multi-specialty ambulatory setting
• 5+ years in a management or director-level RCM role with direct supervisory responsibility
• Demonstrated success in driving measurable financial improvement at scale
• Strong working knowledge of government payer programs (Medicare, Medicaid) and commercial payer contracting
• Expert fluency in CPT, ICD-10, and HCPCS coding standards, billing regulations, and payer policy updates
• Proficiency with practice management platforms such as Epic, Athenahealth, eClinicalWorks, Oracle Health, or Greenway; Oracle Health experience preferred
• Sharp analytical skills, able to translate data into strategy
• Exceptional leadership, communication, and change management skills
• A track record of building accountable, high-performing teams across billing, coding, and patient access functions
• High proficiency in Microsoft Excel and PowerPoint for reporting and presentations

Qualifications

• 7–10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing
• 5+ years in a management or director-level RCM role with direct people management
• Deep expertise in laboratory billing regulations—CLIA, PAMA, LCD/NCD compliance—and molecular/genomic billing
• Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics
• Proficiency with laboratory information systems (LIS) and laboratory billing platforms
• Strong analytical skills—using data to spot trends, resolve billing issues, and drive performance
• Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint
• Bachelor’s degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered)
• Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus

Where & How You'll Work

This is a full-time, exempt role combining remote and regular, onsite presence at our company/clinic locations. Expect ongoing travel (approximately 20%) to sites across the multi-site, multi-state organization, plus occasional travel for conferences, payer meetings, and industry events. Standard business hours apply, with flexibility to meet operational demands. This is a hybrid role, allowing you to live and work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska).

About Us

Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.

Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest’s leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.

Skills & Tools

• Revenue Cycle Management
• Denial Management
• Medical Coding (CPT/ICD-10)
• Oracle Health / Epic
• Medicare & Medicaid
• Payer Contracting
• HIPAA Compliance
• Accounts Receivable Management
• Team Leadership
• Change Management