Full-Time Director of Billing

Position Summary:
The Revenue Cycle and Billing Director will oversee all aspects of billing and revenue cycle management to ensure efficiency, compliance, and financial health. This role is integral to driving operational excellence through strategic planning, team leadership, and collaboration with key stakeholders.

Essential Duties and Responsibilities:

• Oversee and streamline billing and collections processes, ensuring compliance with all state, federal, and payer guidelines.
• Develop and implement policies and procedures to improve efficiency and revenue outcomes.
• Conduct audits and analyses of billing processes to identify areas for improvement and implement necessary changes.
• Monitor and report trends in coding, charges, accounts receivable, and collections, presenting findings to leadership.
• Collaborate with providers, clinical teams, and the EMR team to ensure accurate coding, documentation, and revenue optimization.
• Lead and mentor billing and revenue cycle teams, providing guidance on best practices and professional development.
• Prepare and present regular performance metrics and financial reports to senior management.
• Address patient concerns related to billing with a focus on delivering solutions and maintaining positive relationships.
• Manage relationships with insurance carriers, clearinghouses, and other stakeholders to ensure operational efficiency.
• Ensure compliance with healthcare regulations, including HIPAA, CMS, and payer-specific requirements.

Skills and Qualifications:

• Proven experience in revenue cycle management, billing, and coding in a healthcare setting.
• Leadership experience with a demonstrated ability to motivate and manage teams effectively.
• Strong knowledge of ICD-10-CM, CPT coding, and EMR systems (athenaOne experience preferred).
• Analytical and problem-solving skills to improve processes and address operational challenges.
• Excellent written and verbal communication skills, with the ability to present data and insights clearly.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams) and billing software.
• Ability to maintain confidentiality and uphold ethical standards in all operations.

Education and Certifications:

• Bachelor’s degree in Healthcare Administration, Health Information Management, Business, or a related field (preferred) or equivalent work experience.
• AAPC certifications (e.g., CPC, CPB) required.
• Minimum of 5 years of experience in revenue cycle management, including 2 years in medical coding and 3 years in supervisory roles.