Director of Revenue Cycle bei Planned Parenthood Association o

What You'll Do:

• Leadership & Oversight 
• Provide effective day-to-day leadership and direction for all revenue cycle functions, promoting accountability, teamwork, and ongoing skill development within the department. 
• Serve as the organizational subject matter expert for coding, billing, reimbursement, and payer policies. 
• Build strong working relationships with clinical teams, Health Services leadership, administrative partners, and the CFO to support accurate documentation and optimal financial outcomes. 
• Demonstrate an innovative and creative approach to identifying new revenue opportunities and collaborating with Health Services and the CFO to strengthen and expand revenue across organizational services. 
• Participate in the design and implementation of workflow improvements, system updates, and operational enhancements to increase efficiency and accuracy. 
• Operational Excellence 
• Oversee all components of the revenue cycle, including medical coding, documentation review, charge capture, claim submission, payment posting, denial/AR management, and reimbursement processes. 
• Ensure compliant and accurate coding and billing practices, including proper clinical documentation and timely claim submission in accordance with payer requirements. 
• Maintain current knowledge of payer regulations, reimbursement policies, and rule changes, and communicate relevant updates throughout the organization. 
• Conduct ongoing audits and implement improvements to strengthen revenue cycle accuracy, compliance, and performance. 
• Analyze reimbursement data, payer trends, denial patterns, and AR metrics to identify opportunities for improvement and operational action. 
• Collaboration & Training 
• Maintain productive interdepartmental partnerships to obtain and analyze clinical information needed for billing accuracy and financial optimization. 
• Develop and oversee training for clinical and front-office staff to ensure proper insurance collection, coding, documentation, and charge capture. 
• Create performance objectives and feedback loops that enhance coordination between clinical teams and revenue cycle staff. 
• Compliance & Financial Stewardship 
• Ensure revenue cycle operations are conducted in a compliant, ethical, and legally sound manner aligned with all federal, state, and payer regulations. 
• Participate in finance QRM activities, including audits, reporting, and risk mitigation initiatives. 
• Review fee schedules annually to ensure competitiveness and alignment with market conditions. 
• Monitor key trends impacting cash flow and revenue cycle performance; collaborate with Health Services and the CFO to implement necessary adjustments. 
• Team Management & Reporting 
• Supervise four revenue cycle team members, including workload distribution, performance evaluations, staff scheduling, and resource allocation. 
• Provide onboarding and ongoing training for all revenue cycle staff. 
• Produce and present revenue cycle performance reports and develop team-level KPIs. 
• Oversee provider credentialing processes and serve as a liaison with external credentialing partners. 
• Evaluate payment and reimbursement data to identify opportunities to improve revenue recoupment and overall financial performance. 
• Other duties as assigned.  

What We're Looking For:

• Bachelor’s degree in Business, Healthcare Administration, Health Information Management, or a related field required. Four or more years of progressive revenue cycle management experience may be considered in lieu of the degree. 
• Minimum of 3 years of medical billing, collections, or revenue cycle management experience in a medical practice or health system, with a strong understanding of payer rules, regulations, and reimbursement requirements. Family planning experience preferred but not required. 
• Two years of supervisory or management experience preferred but not required. 
• Medical coding certification (CPC) from an accredited program is strongly preferred but not required. 
• CRCR certification preferred but not required. 
• Epic experience preferred but not required. 
• Demonstrated working knowledge of CPT, HCPCS, and ICD-10 coding requirements. 
• Experience with Electronic Health Record (EHR) systems and clearinghouse billing workflows preferred. 
• Experience optimizing or improving EHR and clearinghouse processes preferred. 
• Annual influenza vaccination required.