CrawlJobs Logo

Director, Revenue Cycle Compliance

baptistjax.com Logo

Baptist Health (Florida)

Location Icon

Location:
United States , Jacksonville

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

Baptist Health is hiring a Director, Revenue Cycle Compliance to join the Compliance, Audit & Risk team. This is a full-time remote opportunity located on the downtown Jacksonville campus of Baptist Health.

Job Responsibility:

  • Serves as a key compliance leader supporting Baptist Health's Revenue Cycle operations across its hospitals, provider-based clinics, freestanding emergency departments, and physician enterprise
  • Oversees compliance activities related to coding, billing, documentation, education, and auditing within the revenue cycle
  • Ensures adherence to applicable federal and state regulations and internal policies by leading designated compliance initiatives, managing frontline teams, and fostering a culture of integrity and accountability throughout the organization

Requirements:

  • Healthcare coding experience required
  • At least one of the following required, two preferred: Certified in Healthcare Compliance (CHC) or to be obtained within 1 year of hire
  • Certified Professional Coder (CPC)
  • Certified Revenue Cycle Representative (CRCR)
  • Certified Revenue Cycle Executive (CRCE)
  • Certified Coding Specialist (CCS) or equivalent credential
  • Certified Inpatient Coder (CIC)
  • Certified Risk Adjustment Coder (CRC)
  • Bachelor's Degree
  • Over 5 years Healthcare Revenue Cycle Compliance Required

Nice to have:

  • Master's Degree
  • Certified Coding Specialist (CCS)
  • Certified in Healthcare Compliance, CHC
  • Certified Professional Coder (CPC)
  • Certified Inpatient Coder (CIC)
  • Certified Revenue Cycle Representative (CRCR)
  • Certified Revenue Cycle Executive (CRCE)
  • Certified Risk Adjustment Coder (CRC)

Additional Information:

Job Posted:
January 05, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Director, Revenue Cycle Compliance

Revenue Cycle Director

This role involves strategic oversight and management of all revenue cycle opera...
Location
Location
United States , Durham
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Director of Revenue

This role is based in the healthcare industry and offers a long term contract em...
Location
Location
United States , Burlington
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Director of Revenue Cycle

The Director of Revenue Cycle Management is responsible for accurate, appropriat...
Location
Location
Salary
Salary:
Not provided
pronexusllc.com Logo
ProNexus
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
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
Read More
Arrow Right

Revenue Cycle Director

We are looking for an experienced Revenue Cycle Director to oversee and optimize...
Location
Location
United States , Richmond
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Extensive experience in healthcare revenue cycle management, including billing and collections
  • Strong knowledge of revenue cycle processes and medical billing practices
  • Familiarity with ambulatory surgery and healthcare billing operations
  • Proven ability to analyze and interpret system reports to identify and resolve operational challenges
  • Leadership experience managing teams, fostering engagement, and ensuring productivity
  • Knowledge of government and private payer payment methodologies and compliance standards
  • Excellent communication and problem-solving skills to address client and operational matters
  • Ability to develop and implement strategies for improving administrative efficiencies and achieving organizational goals
Job Responsibility
Job Responsibility
  • Direct and manage all aspects of the revenue cycle process, including billing, collections, cash posting, refunds, and monthly reporting
  • Identify opportunities for improvement in administrative processes to enhance cash flow, reduce outstanding accounts receivable, and improve billing accuracy
  • Lead and implement changes in systems, team structures, and operational workflows to achieve optimal organizational results
  • Supervise and develop departmental staff by fostering engagement, defining roles, supporting skill development, and ensuring accountability and productivity
  • Monitor team workloads and production metrics to ensure equity and support organizational goals
  • Communicate industry and payor updates that impact revenue cycle processes to internal and external stakeholders
  • Provide guidance on resolving client revenue-related issues and making adjustments for uncollectable claims
  • Analyze performance metrics related to payer payment methodologies and troubleshoot issues to optimize revenue cycle outcomes
  • Review and manage departmental budgets, forecast revenue projections, and align operations with strategic goals
  • Ensure compliance with current industry practices and regulatory requirements affecting revenue cycle activities
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Deputy Director - Quality (Medical Coding)

We are seeking an experienced Medical Coding leader to join our team in Chennai ...
Location
Location
India , Chennai
Salary
Salary:
Not provided
accesshealthcare.com Logo
Access Healthcare LLC
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
Read More
Arrow Right

Director of Revenue Accounting

We are looking for a highly experienced Director of Revenue Accounting to join o...
Location
Location
United States , Hoboken
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Extensive experience in revenue accounting, with a focus on ASC 606 standards
  • Proven expertise in SaaS revenue recognition
  • Strong leadership skills, with a track record of managing accounting teams in large organizations
  • Big4 or large regional public accounting firm preferred
  • Degree in Accounting or Finance
  • MBA or CPA highly preferred
  • Familiarity with regulatory compliance requirements related to revenue accounting
  • Excellent communication and collaboration skills to work effectively across departments
  • A minimum of 10 years of experience in accounting or finance, with significant focus on revenue operations
Job Responsibility
Job Responsibility
  • Lead and manage revenue accounting operations, ensuring compliance with ASC 606 standards
  • Oversee SaaS revenue recognition processes, maintaining accuracy and alignment with accounting principles
  • Collaborate with cross-functional teams to streamline revenue cycle operations and improve efficiency
  • Provide strategic leadership in managing accounts receivable and healthcare revenue cycles
  • Develop and implement policies to optimize revenue accounting and reporting processes
  • Analyze financial data to identify trends and opportunities for revenue growth
  • Ensure compliance with all regulatory requirements related to revenue recognition
  • Mentor and guide the accounting team to enhance their expertise in revenue-related functions
  • Partner with senior leadership to support strategic initiatives and business objectives
  • Drive continuous improvement in accounting systems and processes to adapt to organizational growth
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right
New

Director of Patient Access

We are looking for an experienced Director of Patient Access to lead and oversee...
Location
Location
United States , Roanoke
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in healthcare administration, business, or a related field
  • Master’s degree preferred
  • Minimum of 5 years of experience in patient access, hospital administration, or revenue cycle operations, with at least 2 years in a leadership role
  • Comprehensive understanding of hospital registration, admissions, insurance verification, and scheduling processes
  • Proven ability to manage and lead teams effectively, with strong communication and problem-solving skills
  • Experience working with Electronic Medical Records (EMR) systems and patient scheduling platforms
  • Demonstrated capability to drive operational improvements and foster collaboration across departments
  • Knowledge of healthcare revenue cycle processes, including accounts receivable and revenue recognition
  • Familiarity with compliance standards related to healthcare regulations and value-based care models
Job Responsibility
Job Responsibility
  • Direct and manage the operations of the Patient Access department, including registration, admissions, scheduling, insurance verification, and switchboard services
  • Develop and enforce policies and procedures to ensure accurate patient data collection and adherence to healthcare regulations
  • Lead training programs, staff development initiatives, and performance evaluations for department staff
  • Establish and monitor key performance metrics to evaluate patient flow, financial clearance, and customer service standards
  • Collaborate with revenue cycle, clinical, and IT teams to enhance patient registration processes and improve overall experience
  • Implement strategies to drive patient engagement and support digital health initiatives, including telemedicine access
  • Address and resolve escalated patient or provider concerns related to registration and access issues
  • Oversee departmental budget and resource allocation to optimize efficiency and reduce costs
  • Ensure compliance with value-based care models, data security protocols, and documentation standards
  • Prepare and present comprehensive reports on department performance to senior leadership
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right
New

Director of Revenue Cycle

We are looking for a dynamic Director of Revenue Cycle to lead and optimize pati...
Location
Location
United States , Bloomington, MN
Salary
Salary:
105000.00 USD / Year
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or equivalent relevant experience is required
  • Minimum of 3-5 years of leadership experience in patient access or healthcare operations
  • Proven expertise in healthcare provider finance operations or similar service environments
  • Strong ability to utilize KPIs for team performance monitoring and improvement
  • Experience managing budgets and overseeing project execution
  • Exceptional communication, organizational, and interpersonal skills
  • Ability to thrive and adapt in a fast-paced, dynamic environment
  • Certification from a relevant organization required within nine months of starting
Job Responsibility
Job Responsibility
  • Oversee patient access operations across multiple facilities to ensure seamless processes and high-quality service
  • Identify and implement innovative solutions to enhance operational efficiency and improve patient experiences
  • Develop and maintain strong relationships with facility leaders to align organizational goals and strategies
  • Lead and mentor patient access teams, supporting skill development and building a leadership pipeline
  • Manage recruitment, onboarding, and training for leadership and patient access staff
  • Monitor team performance using KPIs and implement strategies for continuous improvement
  • Ensure compliance with regulatory guidelines and organizational policies across all patient access points
  • Oversee budget management and resource allocation to optimize financial performance
  • Drive employee engagement through effective communication strategies and morale-boosting initiatives
  • Lead and manage projects from initiation to completion, ensuring timely delivery and adherence to budget constraints
What we offer
What we offer
  • bonus
  • medical, vision, dental, and life and disability insurance
  • company 401(k) plan
  • Fulltime
Read More
Arrow Right