Healthcare Revenue Cycle Director

APPLICATIONS WILL BE REVIEWED THROUGH FRIDAY, NOVEMBER 6

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.

• 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 Next Gen 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…