DIRECTOR OF CLINIC SUPPORT

1. Position Title

Director of Clinic Support

2. Department

Clinic Support - South Central Regional Medical Center

3. Reports To

Director of Revenue Cycle Management

4. FLSA Status

Exempt, Salaried

5. Scope of Authority

The Director of Clinic Support is an executive-level position with direct supervisory authority over the clinic billing and coding teams. This position carries full management responsibility for team performance, operational outcomes, and compliance within the clinic billing and coding function. The Director has authority to make personnel decisions within established SCRMC policy and to implement operational changes within the scope of the Revenue Cycle Management department. Budget authority for the department.

6. Position Summary

The Director of Clinic Support provides tactical and operational leadership for the clinic billing and coding teams within the Revenue Cycle Management department at South Central Regional Medical Center. This position is accountable for the accuracy, compliance, productivity, and performance of clinic billing and coding operations and serves as a key partner to clinical and administrative leadership in optimizing revenue cycle outcomes for clinic operations. The Director leads, develops, and manages a team of billing and coding professionals and ensures that all functions are carried out in accordance with applicable regulatory requirements, payer guidelines, and SCRMC policies and standards.

7. Essential Functions (Core Job Duties)

The following duties are representative of the functions performed in this role. This list is not exhaustive and other duties may be assigned as needed.

• Provide direct leadership, supervision, and daily management of the clinic billing and coding teams, including hiring, performance management, coaching, and professional development
• Establish and monitor key performance indicators (KPIs) for billing and coding operations including coding accuracy rates, claim denial rates, days in accounts receivable, clean claim rates, and coder productivity
• Ensure all clinic billing and coding activities are performed in compliance with applicable federal and state regulations, payer-specific requirements, and SCRMC policies including HIPAA and OIG guidelines
• Oversee the accuracy and completeness of clinical documentation coding, ensuring appropriate ICD-10-CM, CPT, and HCPCS code assignment across all clinic service lines
• Partner with clinic physicians, advanced practice providers, and clinical leadership to identify and address documentation gaps that affect coding accuracy and reimbursement
• Lead and coordinate responses to payer audits, coding queries, claim denials, and appeals related to clinic billing and coding activities
• Develop, implement, and maintain billing and coding policies, procedures, and compliance protocols specific to clinic operations
• Collaborate with the Director of Revenue Cycle Management and other revenue cycle leaders on departmental strategy, system initiatives, and performance improvement efforts
• Analyze billing and coding data to identify trends, root causes of denials or underpayments, and opportunities for operational and financial improvement
• Ensure timely and accurate submission of claims, management of work queues, and resolution of billing edits and rejections
• Support the implementation, optimization, and use of billing, coding, and practice management software systems used in clinic revenue cycle operations
• Stay current on changes to billing regulations, coding guidelines, and payer policies and communicate relevant updates to the team in a timely manner
• Prepare and present operational and performance reports to the Director of Revenue Cycle Management and senior leadership as required
• Participate in and support revenue cycle-related projects, system conversions, and interdepartmental initiatives as assigned
• Perform other duties as assigned by the Director of Revenue Cycle Management

8. Required Qualifications

Education:

• Bachelor's degree in Business Administration, Health Information Management, Healthcare Administration, Finance, or a related field required
• Minimum of 3-5 years of progressive experience in healthcare billing, coding, or revenue cycle management required

Experience:

• Minimum of 3 years of experience in billing and coding in a clinic or ambulatory care setting required
• Demonstrated supervisory or management experience leading billing and/or coding teams required

Licensure / Certification:

• Certified Professional Coder (CPC) credential issued by the American Academy of Professional Coders (AAPC) strongly preferred

Knowledge, Skills & Abilities:

• Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems and their application in a clinic setting
• Familiarity with payer billing requirements, CMS guidelines, and ambulatory revenue cycle regulations
• Proven ability to lead, motivate, and develop teams in a fast-paced healthcare environment
• Strong oral and written communication skills, including the ability to present data and operational findings clearly to leadership and clinical stakeholders
• Analytical ability to interpret billing and coding performance data and drive data-informed decisions
• Proficiency with electronic health records (EHR) and practice management systems

9. Preferred Skills and Competencies

• Experience with Epic EHR or comparable enterprise practice management and billing platform
• Familiarity with denial management, appeals processes, and payer contract terms in a multi-specialty clinic environment
• Prior experience managing coding compliance programs or supporting external coding audits
• Knowledge of CMS Evaluation and Management (E/M) documentation and coding guidelines
• Demonstrated ability to work collaboratively across clinical and administrative departments in a health system environment

10. Physical Demands & Work Environment Characteristics

The physical demands and work environment described below are representative of those an employee must meet to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position, in compliance with the Americans with Disabilities Act (ADA).

Physical Demands:

• Primarily sedentary work requiring extended periods of sitting at a workstation
• Frequent use of hands and fingers to operate computers, keyboards, and standard office equipment
• Occasional standing, walking, and movement between office and clinical areas within the facility
• Must be able to communicate clearly and effectively in person, by telephone, and in written form
• Specific vision requirements include close vision for reading printed and digital materials

Work Environment:

• Work is performed primarily in an office setting within a hospital or clinic environment
• Moderate noise level typical of an administrative healthcare setting
• May require occasional extended hours during peak billing and audit periods