Director - Revenue Cycle Management

About the role

The Director of RCM Operations oversees the full revenue cycle continuum, including Front, Middle, and Back-office operations and HIM, to ensure external client satisfaction, consistent cash flow, and operational excellence.

Responsibilities

• Oversee RCM and HIM functions to ensure all activities align with organizational policies, procedures, and client contract requirements.
• Manage workloads and identify priorities to ensure all daily, weekly, and monthly revenue and cash production goals are achieved.
• Analyze and monitor operational KPI metrics by client; proactively identify trends and implement corrective actions for performance variances.
• Continually assess staff workflows and systems to streamline processes, improve performance, and create a cost-effective use of resources.
• Implement operational improvements and collaborate with senior leadership to adjust processes for enhanced efficiency.
• Establish and adjust staffing levels based on account volume and revenue to maintain optimal production levels.
• Lead monthly and quarterly meetings with clients; serve as a Revenue Cycle subject matter expert (SME) to advise clients on industry best practices.
• Serve as the primary point of contact for escalated operational issues, ensuring timely and effective resolution.
• Oversee the compilation and review of comprehensive Revenue Cycle performance reports for internal and external stakeholders.
• Direct management activity related to hiring, training, coaching, and performance appraisals for the RCM and HIM management teams.
• Effectively manage and coordinate with global resources (offshore teams) to ensure seamless delivery.
• Ensure all operations comply with Federal, State, and Local laws, including HIPAA and specific client audit requirements.

Requirements

• Deep, end-to-end Revenue Cycle Management (RCM) expertise, with a strong background in medical coding and demonstrated experience supporting complex hospital and health system environments.
• Demonstrated experience in managing multiple functional areas (Patient Access, Coding, CDI, and/or Billing).
• Hands-on experience with scheduling, coding, billing, and Practice Management Systems (PMS).
• Proactive monitoring and resolution of escalated client issues.
• Ability to self-motivate and self-direct, achieving set goals and deadlines.
• Strong organizational skills and attention to detail.
• Excellent leadership, mentoring, and interpersonal skills.
• Proficient handling of difficult situations and human relations issues with professionalism and respect.
• Ability to maintain professionalism when interacting with internal and external customers.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast-paced, changing environment.
• Strong organizational skills and be detail oriented.
• Ability to self-motivate and self-direct.
• Ability to achieve set goals and deadlines.
• Strong time management skills.
• Strong commitment to team environment.
• Proficient handling difficult situations and human relations issues with professionalism and respect.
• Ability to maintain professionalism when interacting with internal and external customers.

Qualifications

• Bachelor’s degree in business, HIM or a related field (or equivalent experience).
• Minimum 7–10 years of experience in Revenue Cycle and HIM leadership roles.
• At least 5 years of experience in a management capacity, including oversight of multiple functional areas (Patient Access, Coding, CDI, and/or Billing).
• Hands-on experience with scheduling, coding, billing, and Practice Management Systems (PMS).