Director Revenue Cycle Education and Quality - FT - Day - Revenue Cycle Education & Quality

Position Overview

SUMMARY (Basic Purpose Of The Job)
Provides leadership and ongoing development for enterprise-wide quality assurance, and education initiatives across revenue cycle. Responsible for developing and overseeing enterprise-wide education programs, quality monitoring frameworks, and audit remediation strategies spanning front-end access, coding, CDI, charging, billing, collections, and denial management. Partners closely with Revenue Cycle leadership to drive consistent, compliant, and high-quality practices that protect revenue, reduce risk, and improve financial and clinical outcomes.

About the Role

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Responsibilities

• Designs and leads an enterprise revenue cycle quality and education strategy aligned with organizational goals.
• Develops, oversees, and monitors implementation of comprehensive education programs the revenue cycle.
• Creates training tools and staff assessment materials, including but not limited to manuals, presentations, scripts, competency tests, tip sheets, and evaluation rubrics.
• Develops standardized frameworks for quality measurement, and education delivery.
• Serves as subject matter expert for quality and education initiatives impacting the revenue cycle.
• Ensures consistent monitoring, scoring, reporting, and remediation processes.
• Develops standardized methods to communicate feedback to leaders and uses monitoring results to identify gaps in training materials.
• Analyzes revenue cycle performance metrics to identify trends, areas for improvement and implements targeted educational.
• Evaluates education effectiveness using post-training quality and performance metrics.
• Incorporates industry changes in education material for effective and efficient revenue cycle operations.
• Collaborates with revenue cycle leaders to design content and delivery method of education programs leveraging learning platform.
• Supports implementation and optimization of new and existing systems.
• Builds a culture of accountability, continuous improvement, teamwork, and professional growth.

Requirements

• Education: Bachelor's degree. A High School diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree. Master's degree preferred.
• Experience: Seven years of progressively responsible, directly related experience, including leadership experience, when accompanied by a Bachelor's degree. Eleven years of progressively responsible, directly related experience, including leadership experience, when accompanied by a high school diploma or equivalent.

Qualifications

• Advanced understanding of revenue cycle management.
• Strong analytical and communication skills required.
• Excellent verbal and written communications skills.
• Strong interpersonal skills.

Skills

• Proficiency in curriculum development and execution.
• Effective planning, management, and prioritization abilities.
• Prominent ability to manage change.

Benefits

• Medical Plan
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retail Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program