Demo

Director of Revenue Cycle Management

Orthopaedic Specialists of North Carolina
Raleigh, NC Full Time
POSTED ON 1/20/2025
AVAILABLE BEFORE 4/20/2025

Orthopaedic Specialists of North Carolina is seeking a Director of Revenue Cycle to manage our Revenue Cycle department.

We are looking for an experienced individual with advanced interpersonal skills to manage the Revenue Cycle department. An ideal candidate would have a strong background in a healthcare-related revenue cycle, knowledge, and vision about the future of the revenue cycle, demonstrate excellent judgment in new and complex situations, the ability to take on multiple projects, and educate the staff to remain innovative and relevant in the field of revenue cycle.

Job Description

This position owns the Revenue Cycle and provides high-level analysis as it relates to impacting revenue. The reporting and analysis done will involve improvement initiatives for operations in any / all departments, as it relates to the maximization of company revenue. These duties will be done for both Orthopaedic Specialists of North Carolina (clinics & ancillaries) as well as for OrthoNC ASC, LLC.

Summary / Objective

  • Sets revenue goals and oversees analysis to report on the status of goal achievement.
  • Works on RCM projects that will provide high-level value.

Essential Functions

  • Participates in inter-department business activities.
  • Supports billing department in achieving goals set.
  • Reviews data to monitor the daily reports and statistics.
  • Monitors results to identify and report trends to ensure attainment of revenue goals and performance targets.
  • Provides communication and follow up to ensure OrthoNC is informed of all new payer information related to products, policies and procedures.
  • Gives suggestions based on analysis to help improve work flows and processes impacting RCM.
  • Acts as practice liaison between billing software company and practice management.
  • Maintains and reviews all insurance contracts on a regular basis; works directly with CFO to obtain proper resources.
  • Regularly monitors, maintains and communicates with appropriate parties to adhere with relevant government regulatory policies.
  • Oversees all managed care contracts and engages in negotiations with carriers.
  • Identifies, reports and remedies variances in revenue.
  • Monthly reporting to the CFO.
  • Competencies

  • Business Acumen
  • Collaboration Skills
  • Communication Proficiency
  • Decision Making
  • Leadership
  • Strong Analytical Skills
  • Supervisory Responsibility

    This position directly supervises the Revenue Cycle Manager and manages the RCM Department.

    Work Environment

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.

    Physical Demands

    While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle, or feel; and reach with hands and arms.

    Position Type / Expected Hours of Work

    This is a full-time position (40 hours per week).

    Travel

    Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected.

    Required Education and Experience

  • Associate’s Degree in a related field
  • A minimum of 5 years’ experience in medical billing
  • A minimum of 2 years’ experience in an ambulatory surgery center setting
  • Expertise in Medicare compliance and Managed Care contract reimbursement
  • Preferred Education and Experience

  • A minimum of 5 years’ management experience
  • A minimum of 5 years’ experience in an ambulatory surgery center setting
  • A minimum of 5 years of Orthopedic revenue cycle experience
  • Additional Eligibility Qualifications

    Coding Certification Preferred but not required. Experience with Athena Health EMR is not required but strongly preferred.

    Other Duties

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Director of Revenue Cycle Management?

    Sign up to receive alerts about other jobs on the Director of Revenue Cycle Management career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $143,548 - $194,599
    Income Estimation: 
    $283,897 - $548,281
    Income Estimation: 
    $244,714 - $384,323
    Income Estimation: 
    $189,885 - $261,915
    Income Estimation: 
    $283,897 - $548,281
    Income Estimation: 
    $244,714 - $384,323
    Income Estimation: 
    $117,597 - $171,103
    Income Estimation: 
    $150,242 - $217,551
    Income Estimation: 
    $121,393 - $160,983
    Income Estimation: 
    $150,242 - $217,551
    Income Estimation: 
    $189,885 - $261,915
    Income Estimation: 
    $143,548 - $194,599
    Income Estimation: 
    $92,451 - $128,649
    Income Estimation: 
    $117,597 - $171,103
    Income Estimation: 
    $94,460 - $131,912
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Not the job you're looking for? Here are some other Director of Revenue Cycle Management jobs in the Raleigh, NC area that may be a better fit.

    Executive Director of Revenue Cycle

    EmergeOrtho, Durham, NC

    Revenue Cycle Representative- Cash Management

    UNC Health, Chapel Hill, NC

    AI Assistant is available now!

    Feel free to start your new journey!