Jane Pauley Community Health Center, Inc.

Jane Pauley Community Health Center, Inc.

Director of Revenue Cycle

Indianapolis, Indiana, United States · Director

Sponsorship not specifiedDetected 21 hours ago
Data AnalysisComplianceAccountingForecastingBudgetingHIPAAEpicEHR/EMRICD-10LeadershipCommunicationCollaborationProblem Solving

About the role

  • Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day.
  • The Director of Revenue Cycle provides strategic, operational, and financial leadership for all revenue cycle management (RCM) functions across a large, multi-site FQHC.
  • This position oversees end-to-end revenue cycle operations for an organization serving approximately 200,000 patient visits annually with a clinical network of approximately 300 clinicians.

Responsibilities

  • Develop, implement, and continuously improve a unified, organization-wide revenue cycle strategy aligned with financial sustainability and HRSA compliance objectives.
  • Monitor and manage key performance indicators (KPIs) including Days in A/R, Clean Claim Rate, Denial Rate, Net Collection Rate, and Cost to Collect.
  • Collaborate cross-functionally with Clinical, Operations, IT, Compliance, and Finance leadership to align clinical documentation with optimal charge capture.
  • Standardize and manage billing, coding, and workflow requirements across a highly diverse set of clinical specialties:
  • Implement best-practice workflows to minimize denials and maximize first-pass claim rates.
  • Partner with the Compliance Officer to design and execute regular internal coding and documentation audits, ensuring any identified vulnerabilities are quickly addressed.
  • Establish clear performance standards, productivity metrics, and quality expectations for all billing, coding, and RCM support staff.
  • Evaluate, select, and implement automated RCM tools, clearinghouses, predictive denial management systems, and online patient billing integrations to drive operational efficiency.
  • Collaborate with IT and clinic leadership to troubleshoot system issues affecting claim submission or charge capture.

Requirements

  • Large-Scale Operations: Proven experience managing RCM in a high-volume setting.
  • Knowledge, Skills & Abilities
  • Strong interpersonal and communication skills, with the ability to influence positive change across clinical, operational, and financial teams.
  • Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!
  • Education/Certifications:
  • Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required. Master's degree (MHA, MBA, or equivalent) is highly preferred.
  • Certifications (Preferred): Professional certification such as Certified Revenue Cycle Professional (CRCP), Certified Professional Biller (CPB), Certified Professional Coder (CPC), or Fellow of the Healthcare Financial Management Association (FHFMA/CHFP).
  • Experience
  • Leadership Experience: Minimum of 7-10 years of progressive revenue cycle experience, with at least 5 years in a director-level or senior leadership role within a healthcare system.
  • FQHC/Ambulatory Care Expertise: Highly preferred. Candidates must demonstrate deep knowledge of the FQHC Prospective Payment System (PPS) reimbursement, Sliding Fee Discount Program rules, and HRSA guidelines.
  • Specialized Service Lines: Direct experience overseeing billing/coding for behavioral health (specifically including ASAM/SUD treatment) alongside traditional medical, dental, and optometry services.
  • Comprehensive mastery of electronic billing systems, clearinghouses, and practice management databases.
  • In-depth understanding of CPT, ICD-10-CM, CDT, and DSM-5 coding conventions.
  • Exceptional analytical, problem-solving, and financial forecasting skills.

Nice to have

  • Master's degree (MHA, MBA, or equivalent) is highly preferred.
  • Highly preferred.
  • FQHC/Ambulatory Care Expertise: Highly preferred.

Compensation

  • This position oversees end-to-end revenue cycle operations for an organization serving approximately 200,000 patient visits annually with a clinical network of approximately 300 clinicians.
  • Lead annual revenue cycle budgeting, forecasting, and goal-setting processes for all service lines.

Benefits

  • Serve as the principal advisor to the executive leadership team on RCM performance, regulatory updates, and emerging reimbursement models.
  • CDT coding, FQHC dental encounters, and pediatric/adult Medicaid dental guidelines.
  • Maintain compliance with Federal and State regulations, including HIPAA, CMS guidelines, Medicaid/Medicare billing rules, and behavioral health parity laws.
  • Stay current on state-specific Medicaid Managed Care Organization (MCO) rules and changing reimbursement guidelines.
  • Foster a collaborative culture of accountability, continuous learning, and professional growth.
  • Provide continuous training and education to RCM staff and clinical providers on documentation, coding standards, and payer guidelines.
  • Direct the operational optimization and integration of the Epic Electronic Health Records (EHR) and Practice Management (PM) systems.
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