The Revenue Cycle Director provides strategic and operational leadership over the hospital's full revenue cycle, front to back - Patient Access (pre-registration, registration, scheduling, and financial clearance), Health Information Management (HIM)/Coding, and Patient Financial Services (charge capture, billing, follow-up, cash posting, and adjustments) - for a Critical Access Hospital (CAH) reimbursed under the Medicare Method II election. Because the hospital bills both the facility and professional components of outpatient services on a single institutional claim under Method II, this role requires working fluency in both hospital billing (HB) and professional billing (PB) rules, physician reassignment of benefits, and the CAH's unique cost-based reimbursement structure. The Director ensures accurate, compliant, and timely reimbursement; leads the Patient Access, HIM/Coding, and PFS teams as a single, accountable revenue cycle unit; and partners with hospital leadership, providers, and the electronic health record (EHR) team to maintain a financially healthy, low-denial, low-AR-days revenue cycle from first patient contact through final cash posting.
Education Required:
- Bachelor's degree in healthcare administration, accounting, finance, business, or a related field required; Masters degree preferred; equivalent combination of education and experience considered.
Related Years of Experience Required: - 7 or more years of progressive revenue cycle experience, including supervisory or management experience, required; Critical Access Hospital and Rural Health Clinic experience strongly preferred.
- Epic experience highly preferred, including familiarity with HB and PB workqueues, claim edits, and charge routing.
- Experience leading Patient Access and/or HIM/Coding functions, in addition to billing/PFS, strongly preferred; comfort managing across the full revenue cycle rather than a single segment.
- Certified Professional Coder (CPC) or similar coding/billing certification a plus; RHIA/RHIT credential or direct HIM leadership background a plus.
Shift: Working 40 hours a week, Monday - Friday, day shift.
Relocation Assistance Available!
