Director of Revenue Cycle Management

The Director of Revenue Cycle Management (RCM) provides enterprise-wide strategic leadership to optimize financial performance, enhance revenue integrity, and ensure a high performing, compliant revenue cycle operation. This role is accountable for the end-to-end revenue cycle, driving operational excellence, scalability, and continuous improvement across all functions. The Director partners closely with executive leadership to maximize net patient revenue, improve cash flow, and align revenue cycle performance with organizational financial strategy.

This position reports directly to the Chief Financial Officer (CFO).

• Lead and execute a comprehensive, enterprise-wide revenue cycle strategy aligned with organizational growth and financial objectives.
• Oversee all revenue cycle operations including patient access, coding, billing, claims management, denial resolution, and collections.
• Drive measurable improvements in key performance indicators such as days in accounts receivable, denial rates, clean claim rates, and net collection rates.
• Identify and eliminate revenue leakage through data-driven analysis and cross functional process improvement initiatives.
• Serve as the primary executive liaison with payers to resolve operational issues, negotiate performance expectations, and address reimbursement challenges.
• Lead revenue cycle technology optimization, including system implementations, upgrades, automation, and analytics tools.
• Collaborate with clinical, compliance, legal, and IT teams to ensure accurate documentation, coding integrity, and billing compliance.
• Develop and maintain executive-level reporting to communicate performance, risks, and opportunities to senior leadership and governing bodies.
• Build and lead a high-performing revenue cycle team, fostering accountability, engagement, and continuous professional development.

• Drive improvements in cash flow, revenue predictability, and overall financial performance.
• Reduce denials, write-offs, and bad debt through proactive management, root cause analysis, and staff education.
• Partner with executive leadership to align revenue cycle operations with organizational margin goals and long-term financial sustainability.
• Support budgeting, forecasting, and financial planning processes related to revenue cycle operations.

• Ensure full compliance with all federal, state, and payer regulations.
• Maintain audit readiness and proactively mitigate regulatory and financial risk.
• Monitor regulatory changes and implement necessary operational adjustments.

• Bachelor’s degree in accounting, finance, or related field
• 7+ years of progressive financial management experience
• 3+ years of supervisory experience
• CPA or equivalent credential preferred

• OR
  an equivalent combination of education, experience, knowledge, skills, and abilities that demonstrates the capacity to perform the essential functions of the position, as permitted by applicable regulatory standards.
• Possession of a valid Virginia driver’s license and a satisfactory driving record in accordance with agency policy.

• Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field.
• Minimum of 10 years of progressive leadership experience in healthcare revenue cycle management.
• Proven success leading complex, multi-functional revenue cycle operations.
• Strong knowledge of healthcare reimbursement methodologies, coding, billing regulations, and payer requirements.
• Demonstrated ability to perform advanced financial analytics and ad-hoc reporting, including development of high-level analyses and dashboards to…