Director, Revenue Cycle Compliance Job at Baptist Health (Florida) (Jacksonville)

Revenue Cycle Director

This role involves strategic oversight and management of all revenue cycle opera...

Location

United States , Durham

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Must possess a strong understanding of Accounts Receivable (AR) processes and procedures
Proven experience in auditing is required
Demonstrated knowledge of various billing functions is essential
Must have experience in claim administration, particularly in a healthcare setting
Familiarity with Medicaid billing processes is necessary for the role
Proficiency in handling Medicaid claims is a must
Experience with Medicare billing is a key requirement
Expertise in medical insurance billing is required

Job Responsibility

Enhance revenue cycle efficiency and effectiveness by developing and implementing strategic initiatives
Lead and provide oversight for the entire revenue cycle, including patient access, medical and dental coding, billing, collections, and payer contract management
Foster a culture of accountability, detail-oriented development, and continuous improvement by supervising and mentoring revenue cycle staff
Ensure compliance with federal, state, and payer-specific regulations, and implement policy changes and staff training as required
Oversee denial management and appeals processes to maximize reimbursement and avoid revenue loss
Monitor and implement improvement initiatives for key performance indicators (KPIs) for revenue cycle operations
Build and maintain strong relationships with payers, third-party vendors, and internal stakeholders to optimize revenue cycle performance
Collaborate with clinical leadership to ensure accurate documentation and coding for claims submission and reimbursement
Implement technology and process improvements to enhance billing and collections accuracy and efficiency
Support financial reporting, budget planning, and revenue forecasting by collaborating with finance leadership

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Director of Revenue

This role is based in the healthcare industry and offers a long term contract em...

Location

United States , Burlington

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in Epic Software is essential
Demonstrated experience in handling Budget Processes
Expertise in HealthCare Revenue Cycle management is required
Familiarity with Hospital Revenue Cycle processes is a must
A solid understanding of Revenue Cycle Processes is necessary
Proven experience in Revenue management is crucial
Ability to Assess Compliance in revenue-related matters is needed

Job Responsibility

Lead and improve the revenue, reimbursements, and collections processes
Utilize your knowledge of Epic Software to enhance revenue cycle processes
Work in collaboration with senior management to assess compliance and ensure efficiency
Use your expertise in healthcare revenue cycle and hospital revenue cycle to boost revenue operations
Involve in budget processes and ensure its alignment with revenue management strategies
Oversee and manage revenue management within the organization

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Director of Revenue Cycle

The Director of Revenue Cycle Management is responsible for accurate, appropriat...

Location

Salary:

Not provided

ProNexus

Expiration Date

Until further notice

Requirements

Bachelor's degree in Finance, Accounting, Healthcare/Business Administration, or related field
Experience in Revenue Cycle Management: Three(3)- Five(5) years required – Ten(10) preferred
Strong Reimbursement knowledge preferred
Strong Billing knowledge preferred
Exceptional communication, interpersonal, and leadership skills, with the ability to influence and collaborate effectively at all levels of the organization
Strategic mindset, with the ability to anticipate market trends, assess risks, and develop proactive strategies to drive financial success
Experience in a customer service role / client facing, public accounting, consulting or advisory roles is advantageous

Job Responsibility

Overseeing Revenue Cycle Operations: Directing and supervising all aspects of the revenue cycle process, including patient access, financial clearance, billing, collections, charge capture, and compliance
Strategic Planning: Developing and implementing strategic initiatives to optimize revenue cycle performance, enhance efficiency, and ensure compliance with regulatory requirements and industry standards
Staff Management: Leading and managing a team of revenue cycle professionals, providing guidance, training, and support to ensure high performance and adherence to organizational goals
Financial Management: Forecasting and managing financial budgets for revenue cycle departments, ensuring efficient resource allocation and cost-effective operations
Compliance: Maintaining up-to-date knowledge of regulatory requirements and industry best practices, and ensuring compliance with all relevant laws, regulations, and standards
Customer Satisfaction: Ensuring the highest level of customer satisfaction for both internal and external stakeholders, including patients, residents, clients, and healthcare providers
Performance Monitoring and Improvement: Monitoring key performance indicators (KPIs) and metrics to assess revenue cycle performance, identifying areas for improvement, and implementing corrective actions as needed
Collaboration: Collaborating with cross-functional teams, including physicians, nursing staff, health information management, and finance departments, to optimize coding accuracy, clinical documentation, and reimbursement processes
Continuous Learning and Innovation: Staying abreast of industry trends, technological advancements, and innovations in revenue cycle management, and implementing relevant strategies to enhance operational efficiency and effectiveness
Communication: Effectively communicating with senior leadership, departmental managers, and other stakeholders to provide updates on revenue cycle performance, challenges, and initiatives

What we offer

Diversify and accelerate your work experience
elevate your career marketability
increase your earnings
opportunity to work with diverse clients and tackle challenging projects that will expand your skills and expertise
freedom and flexibility to choose your engagements, manage your workload and control your work life balance

Interim Sr Director Revenue Integrity

Our Client is seeking a dynamic leader to oversee the development, implementatio...

Location

United States , Phoenix

Salary:

85.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

Bachelor’s degree in healthcare administration, finance, business, or related field (Master’s preferred)
Extensive experience in revenue integrity, charge capture, or healthcare revenue cycle management
Strong knowledge of regulatory requirements and compliance related to healthcare revenue cycle
Demonstrated leadership and staff management experience, with the ability to supervise, develop, and evaluate teams
Proven ability to develop, implement, and monitor revenue integrity programs and quality assurance functions
Experience with charge auditing and revenue recovery in acute and ambulatory service lines
Excellent analytical, reporting, and data interpretation skills, with the ability to prepare and present recommendations to senior leadership
Strong project coordination and change management abilities, including implementing regulatory changes and best practices
Effective communication and relationship-building skills with internal and external stakeholders, including the ability to negotiate and influence
Budget management and contract negotiation experience

Job Responsibility

Develop and sustain compliant charge capture workflows for clinician-driven revenue
Oversee documentation, audit, and system-driven revenue capture processes
Serve as the highest level of escalation for charge capture operations issues
Create and maintain quality assurance functions, including provider education, review, and feedback loops to preserve revenue integrity with charge entry and clinical staff
Monitor and implement regulatory changes impacting the revenue cycle, ensuring ongoing compliance
Coordinate and lead projects to implement required regulatory changes specific to revenue cycle operations
Lead charge auditing functions to generate revenue recoveries in acute and ambulatory service lines
Guide the development and implementation of goals and objectives for revenue integrity programs and processes, such as charge capture, compliance, Charge Description Master, and denials management
Incorporate best practices and respond to emerging trends to enhance operations, programs, and services
Implement and evaluate revenue integrity programs, develop effective tools to measure performance, analyze related data, prepare reports, and make recommendations to senior leadership

What we offer

A flexible work environment
Opportunities for professional growth and leadership development
Health and life insurance
Employee share options
Supportive and collaborative team culture
Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing services like virtual counseling, financial services, legal services, life coaching

Deputy Director - Quality (Medical Coding)

We are seeking an experienced Medical Coding leader to join our team in Chennai ...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Deep understanding of medical coding standards and audit processes
Experience with automation and AI solutions in coding audits
Proficiency in developing and managing quality metrics dashboards
Strategic leadership and ability to influence cross-functional teams
Strong problem-solving and decision-making capabilities
Excellent communication and stakeholder management skills
Minimum 13 years of experience in Healthcare Revenue Cycle Management (RCM) and Quality Assurance
At least 5 to 6 years of core multispecialty coding expertise
Certified Six Sigma Black Belt/Master Black Belt from recognized institutions (e.g., ISI, ASQ, Benchmark, KPMG) with proven project experience
Expertise in coding audit frameworks, accuracy improvement strategies, and regulatory compliance

Job Responsibility

Oversee comprehensive quality audits for coding across in-house teams and multiple vendors
Enforce coding best practices to mitigate risks such as missed diagnoses, over-coding, or under-coding
Drive external and internal audit programs aimed at improving compliance and accuracy
Design and elevate quality control frameworks to ensure coding accuracy and operational efficiency
Lead initiatives to reduce error rates, enhance coding precision, and boost productivity
Implement cutting-edge, AI-enabled audit solutions such as automated coding reviews and real-time QA tools
Monitor and report on Accuracy KPIs, including Missed Error Rate, Extra Error Rate, and Inter-Rater Reliability
Utilize robust data analytics to assess trends in coding accuracy and identify compliance risks
Develop executive dashboards and reports to provide insights into quality performance metrics
Partner with Operations and Training teams to address and resolve coding discrepancies while implementing corrective action plans

Revenue Cycle Director

We are looking for an experienced Revenue Cycle Director to join our team on a c...

Location

United States , Hillsborough

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

A minimum of 5 years of experience in healthcare revenue cycle management
Proven expertise in medical billing and collections within smaller healthcare practices
Strong knowledge of healthcare billing regulations and compliance standards
Familiarity with ambulatory surgery center billing processes
Experience in utilizing and implementing AI-driven tools for revenue cycle improvements
Exceptional analytical and problem-solving skills
Effective leadership and communication abilities
Proficiency in managing insurance claims and payer relationships

Job Responsibility

Supervise and manage all aspects of the revenue cycle, including billing, collections, and financial reporting
Identify opportunities to streamline processes and implement automation to enhance operational efficiency
Collaborate with leadership to align revenue cycle strategies with organizational goals
Ensure compliance with healthcare billing regulations and standards
Monitor key performance indicators and generate reports to track financial outcomes
Provide guidance and training to staff to maintain high levels of performance and accuracy
Work closely with insurance providers to resolve claims and payment issues
Develop and implement policies to improve the overall effectiveness of revenue cycle operations
Analyze financial data to identify trends and recommend improvements
Support leadership in integrating advanced technologies, such as AI, into revenue cycle processes

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Associate director mid revenue cycle

This job description indicates the general nature and level of work expected of ...

Location

United States , Aurora

Salary:

54.90 - 82.35 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Relevant industry certification from an approved accrediting body
Based on function areas, may include bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience
Minimum 9 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology, including 2+ years of leadership experience in a large integrated healthcare system
Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work
Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS)
Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement
Strong understanding of EHR systems and other revenue cycle technology solutions
Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access
Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment
Skilled in prioritizing business needs and resource management to develop efficient and scalable processes

Job Responsibility

Operational Leadership: Lead assigned Mid Revenue Cycle sub-function area(s) to ensuring alignment with divisional and enterprise-wide goals. service delivery meets organizational goals and regulatory requirements
Operational Efficiency: Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle
Regulatory Compliance & Confidentiality: Ensure adherence to regulatory requirements, accreditation standards, and organizational policies. Maintain confidentiality of patient records and report any perceived non-compliant practices to leadership or the Compliance Department
Performance Monitoring & Reporting: Develop, implement, and monitor quality standards, workflows, and productivity metrics to optimize team performance. Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement
Quality Assurance: Maintain a high standard of quality and oversee processes and implement corrective actions as needed to ensure high reliability, accuracy and optimal reimbursement
Technology Utilization: Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes
Collaboration & Stakeholder Engagement: Serve as a liaison across Mid-Revenue Cycle and other organizational units to ensure processes drive value, support enterprise-wide initiatives and priorities and adhere to regulatory requirements. Build and maintain relationships with key stakeholders to drive communication, problem-solving, and operational alignment
Team Leadership & Development: Manage and develop a team of professionals by performing human resource functions such as hiring, performance evaluations, and professional development. Provide training, feedback, and career growth opportunities to foster a high-performing and financially responsible workforce. Ensure proper staffing, training, and resource allocation to meet operational demands and quality standards
Strategic Initiatives & Execution: Contribute to the development and execution of strategic initiatives within the Mid Revenue Cycle to support Advocate Health's long-term goals

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Associate Director, Revenue Cycle Operations

Reporting to the Director of Revenue Cycle Operations, the Associate Director, R...

Location

United States

Salary:

140000.00 - 161000.00 USD / Year

Spring Health

Expiration Date

Until further notice

Requirements

8+ years in healthcare revenue cycle operations, including payer billing and collections
3+ years of direct team leadership experience, including managing managers or cross-functional teams
Deep understanding of claims processing, coding, payer contracting, and HIPAA compliance
Demonstrated success improving billing KPIs and operational efficiency
Proficiency with billing systems and Excel-based data analysis

Job Responsibility

Oversee day-to-day revenue cycle operations, ensuring timely and accurate claims submission, resolution, and collections
Collaborate cross-functionally to ensure scalable workflows for emerging services and billing complexities
Implement process improvements to reduce denials, shorten AR cycle times, and improve payment accuracy
Support strategic planning, budgeting, and forecasting for the revenue cycle function
Monitor KPIs and reporting dashboards to assess team performance and escalate risks and opportunities
Lead, mentor, and develop a team of billing managers and analysts

What we offer

Health, Dental, Vision benefits start on your first day
Access to One Medical accounts
HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs
Employer sponsored 401(k) match of up to 2%
A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
Competitive paid time off policies including vacation, sick leave and company holidays
Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents at 6 months tenure
Access to Noom, a weight management program
Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses
Access to Wellhub

Fulltime

Director, Revenue Cycle Compliance

Baptist Health (Florida)

Location:
United States , Jacksonville

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 05, 2026

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