Director, Revenue Cycle Management

Responsibilities

• Provide day-to-day executive leadership of the CIS RCM, including oversight of billing, collections, denial management, and payer relations.
• Monitor, manage, and improve CIS revenue cycle KPIs — AR days, % AR > 120, net collection rate, denial rate, clean claim rate — and report results regularly to the VP of RCM.
• Manage, mentor, and develop the CIS RCM staff; establish clear accountability frameworks and drive a culture of continuous improvement and professional growth.
• Lead denial management and appeals processes; identify root-cause trends and implement corrective action plans to reduce denial rates and protect net revenue.
• Maintain and strengthen payer relationships; escort credentialing or contract issues as needed in coordination with the CIS Credentialing Manager (Current State) and CVL Director of Credentialing (Future State).
• Partner with the Athena implementation team on workflow design, queue configuration, data migration, and go-live readiness activities specific to CIS.
• Collaborate with the VP of RCM and peer platform directors on enterprise-wide process standardization, RCM transformation initiatives, and platform reporting.
• Serve as the primary CIS liaison to CIS Executive Leadership, Practice Management, Finance, HR, and Compliance on revenue cycle matters; ensure alignment on budgeting, staffing, and regulatory requirements.
• Ensure compliance with payer requirements, CMS billing guidelines, HIPAA, and internal revenue cycle policies and procedures.
• Prepare and present operational and financial reports to the VP of RCM and CIS executive leadership as requested.
• Actively assist with the business transformation to Athena, supporting implementation, workflow build, and change management efforts; transition into the Director of RCM Support role, assuming platform-wide responsibility for RCM systems, workflow optimization, vendor relationships, and operational support across all CVL entities.

Requirements

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field required or equivalent experience.
• Minimum 7 years of RCM experience in an ambulatory, multi-specialty, or physician group healthcare setting; cardiovascular or cardiology group experience a plus.
• Minimum 3 years of director-level or senior leadership experience in ambulatory revenue cycle management.
• Demonstrated experience with RCM platforms and EHR/PM systems; Athena Health (athenaOne) experience strongly preferred.
• Deep understanding of payer billing requirements, denial management strategies, and collections processes in a physician group environment.
• Proficient in RCM analytics and reporting tools; ability to interpret KPI trends and translate data into operational action.
• Experience leading RCM workflow design, process improvement, and operational infrastructure build — not solely a traditional collections or AR management background.
• Excellent leadership, communication, and interpersonal skills; ability to build trust and operate effectively across a multi-site, multi-entity platform.
• Track record of building and developing high-performing RCM teams in a growth or transformation environment.
• Healthcare transformation or growth company experience preferred.
• CPC, CRCR, or equivalent coding/billing certification preferred but not required.