Healthcare Revenue Cycle Director

APPLICATIONS WILL BE REVIEWED THROUGH FRIDAY, NOVEMBER 6

Position Summary

The Director of Revenue Cycle provides strategic and operational leadership for the Colorado Coalition for the Homeless’ Healthcare Revenue Cycle Department through direct supervision of the Accounts Receivable Manager and the Clinical Coding Manager. Ensures coding, charge capture, accounts receivable, denial management, payer performance, and revenue cycle reporting operate as an integrated function. Responsible for improving reimbursement, cash flow, compliance, collaboration, and process performance across the revenue cycle.

Duties/Responsibilities (Essential Functions)

• Direct healthcare revenue cycle operations, including clinical coding, charge capture, claims, accounts receivable, denials, appeals, collections, payer follow-up, and reporting.
• Directly supervise, support, and hold accountable the Accounts Receivable Manager and the Clinical Coding Manager, ensuring each manager has clear priorities, measurable goals, effective workflows, and appropriate resources.
• Coordinate the Accounts Receivable and Clinical Coding functions to align coding accuracy, charge capture, denial prevention, payer follow-up, collections, and reporting.
• Analyze monthly revenue cycle performance indicators, including days in accounts receivable, collection rates, denial rates, claim projections, coding accuracy, charge capture trends, aged receivables, and payer performance; presents findings and recommendations to organizational leadership.
• Lead revenue optimization and denial prevention initiatives by identifying root causes, implementing corrective action plans, and maintaining feedback loops with coding, billing, clinical operations, finance, and leadership.
• Oversee clinical coding operations across medical, behavioral health, dental, and vision services, including coding accuracy, clinical documentation improvement, provider education, coding audits, charge capture integrity, and compliance with ICD-10-CM/PCS, CPT, HCPCS, and CDT standards.
• Ensure effective use of NextGen EPM and EHR workflows, including claim edit logic, scrubbers, payer-specific rules, Background Business Processor tools, batch processing, reporting, and workflow optimization.
• Collaborate with providers, clinical and operations leadership, EHR staff, finance and accounting, payer representatives, and external partners to resolve operational, reimbursement, documentation, and compliance issues.
• Monitor payer behavior, contract performance, reimbursement trends, regulatory changes, timely filing requirements, and payer-specific billing rules; communicate impacts and implement required updates.
• Ensure revenue cycle practices align with federal and state healthcare regulations, Medicare and Health First Colorado (Colorado Medicaid) billing requirements, payer contracts, HIPAA, and FQHC-specific billing and reimbursement requirements, including PPS, wrap payments, sliding fee scale reconciliation, and UDS-related considerations.
• Conduct or oversee routine audits of coding, billing, accounts receivable, and revenue cycle workflows to verify compliance, identify improvement opportunities, and support staff training.
• Identify opportunities to automate, streamline, and standardize revenue cycle processes to improve productivity, cash flow, reimbursement, data accuracy, patient financial experience, and organizational financial performance.
• Lead departmental planning by developing and implementing annual goals, performance targets, and operational plans aligned with organizational priorities; develop and monitor the departmental operating budget, identify variances, and collaborate with the CFO and finance on projections and resource planning.
• Performs other job duties as assigned.

Education, Experience and Job Competencies

Education

• Bachelor’s degree in healthcare administration, health information management, business, finance, accounting, or related field, or relevant work experience may be substituted for the degree.

Experience

• Minimum of five (5) years of progressive healthcare revenue cycle experience, including experience in billing, accounts receivable, denial management, coding, reimbursement, payer compliance, or related functions.
• Minimum three (3) years of supervisory or management experience in a healthcare revenue cycle, billing, coding, patient financial services, or health information management environment.
• Demonstrated experience working in/with a community health center, or safety-net healthcare experience strongly preferred.
• Professional certification such as CPC, CPMA, CRCR, CHFP, RHIT, RHIA, or similar revenue cycle, coding, auditing, or health information credential preferred.
• Prior experience working in a non-profit environment preferred.
• Demonstrated proficiency in Microsoft Office Suite, especially Excel, Word, Outlook, and Teams required. Advanced experience with data analysis, dashboarding, and reporting tools preferred.

Job Competencies

• Comprehensive knowledge of healthcare revenue cycle operations, including clinical coding, charge capture, billing, claims management, accounts receivable, payment posting, denial management, appeals, collections, payer reimbursement, and reporting.
• Strong technical knowledge of healthcare finance, accounting principles, payer contracts, reimbursement methodologies, Medicare and Medicaid billing rules, and Federally Qualified Health Center reimbursement requirements, including PPS, wrap payments, sliding fee scale, and UDS-related reporting considerations.
• Knowledge of ICD-10-CM/PCS, CPT, HCPCS, and CDT coding systems and their impact on billing, reimbursement, compliance, denials, and clinical documentation improvement.
• Ability to interpret revenue cycle data, identify trends, define problems, develop corrective action plans, and drive measurable improvements in cash flow, denial reduction, collections, accuracy, and compliance.
• Ability to communicate complex revenue cycle, coding, reimbursement, and compliance information clearly to executive leadership, clinical providers, finance staff, managers, and front-line team members.
• Strong decision-making and critical-thinking skills.
• Exceptional interpersonal and communication skills with a focus on customer service.
• Strong attention to detail, understand and maintain confidentiality, and perform work with a high degree of accuracy.
• Ability to research, compile, analyze, and disseminate information.
• Sensitivity to diverse populations, particularly underserved communities.

Physical Demands and Working Conditions
The physical demands and work environment are representative of those that must be met or encountered to successfully perform the essential functions of the job with or reasonable accommodation and without posing a direct threat to safety or health of self or others. In compliance with the Americans with Disabilities Act, CCH provides reasonable accommodation to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the Company.

Physical Demands

• Occasionally lifts items weighing up to 50 pounds.
• Must be able to write, type and use telephones, cellphone, and online phone.  

Working Conditions

• Standard work schedule is Monday through Friday, from 8:00 AM - 5:00 PM with some evening and weekend shifts as required. 
• Flexibility allowing for a hybrid work schedule as determined by business needs.  
• Frequent interpersonal interaction, in addition to regular meetings. 
• May be exposed to direct and vicarious trauma including escalated behavior, substance use, death, and mental health disorders.