Revenue Cycle Director: Lead Patient Access & Billing

Johnson Regional Medical Center; Pedrafita do Cebreiro; On-site; EUR 90,000 - 130,000; Full time

Job summary

Johnson Regional Medical Center in Galicia, Spain, is seeking a Senior Revenue Cycle Director to lead Patient Access, the Business Office, and Revenue Integrity. This full-time role ensures accurate documentation, charge capture, and compliant billing to optimize reimbursement and reduce denials.

You will develop KPIs, manage audits, partner with HIM, Coding, and IT, recruit and coach staff, and drive process improvement across the revenue cycle to support financial performance and patient

Qualifications

• Bachelor's degree required; master’s preferred.
• 5–7 years in progressive revenue cycle leadership.
• Experience with Patient Access and Business Office preferred.
• RHIA, RHIT, CCS, CHRI, CHAM, or CRCR certifications preferred.
• Strong analytical, leadership, and problem-solving skills.

Responsibilities

• Provide leadership across Patient Access, Business Office, and Revenue Integrity.
• Develop goals, KPIs, and operational plans to support financial objectives.
• Identify revenue leakage and compliance risks and implement corrective actions.
• Oversee chargemaster maintenance and auditing.
• Monitor underbilling, overbilling, and missed charges.
• Lead billing, claims submission, payment posting, AR follow-up, and collections.
• Ensure timely and accurate claims to reduce denials.
• Manage RAC, MAC, and commercial audits.
• Develop financial analysis dashboards and reporting tools for leadership.

Skills

Leadership

Revenue cycle

Charge capture

Coding alignment

Regulatory compliance

Analytics

Staff development

Education

Bachelor's degree

Master's degree preferred

RHIA

RHIT

CCS

CHRI

CHAM

CRCR

Job description

Johnson Regional Medical Center in Galicia, Spain, is seeking a Senior Revenue Cycle Director to lead Patient Access, the Business Office, and Revenue Integrity. This full-time role ensures accurate documentation, charge capture, and compliant billing to optimize reimbursement and reduce denials.

You will develop KPIs, manage audits, partner with HIM, Coding, and IT, recruit and coach staff, and drive process improvement across the revenue cycle to support financial performance and patient