Job Description
12 - 16 Years
Permanent
Group Company:
Infinx
Designation:
AD - RCM COE
Role Overview
The Associate Director – COE for Healthcare Revenue CycleManagement (RCM) is a strategic leadership role responsible for establishing,governing, and optimizing a Center of Excellence to drive best practices,process standardization, innovation, and performance excellence across RCMfunctions. This role will focus on improving financial outcomes, enhancingoperational efficiency, ensuring compliance, and driving digital transformationacross the end-to-end revenue cycle.
Key Responsibilities
- Leadthe design, implementation, and expansion of the RCM COE strategy alignedwith organizational goals.
- Establishgovernance frameworks, operating models, and best practices across all RCMfunctions.
- Actas a subject matter expert (SME) for revenue cycle operations andtransformation initiatives.
- Collaboratewith executive stakeholders to define KPIs and performance benchmarks.
2. Process Excellence & Standardization
- Driveend-to-end process optimization across key RCM areas:
- PatientAccess & Registration
- Coding(ICD-10, CPT, HCPCS)
- Billing& Charge Entry
- AccountsReceivable (AR) Management
- DenialsManagement
- PaymentPosting
- ImplementLean, Six Sigma, or similar methodologies to improve quality and reduceturnaround time.
- DevelopSOPs, playbooks, and standardized workflows.
3. Analytics, Reporting & Performance Management
- Defineand monitor KPIs such as:
- Daysin AR
- NetCollection Rate
- FirstPass Yield
- DenialRate
- CashAcceleration
- Developadvanced reporting dashboards and predictive analytics frameworks.
- Identifytrends, root causes, and implement corrective actions.
- Leadinitiatives in:
- RPA(Robotic Process Automation)
- AI/ML-drivencoding and denial prediction
- Workflowautomation tools
- Partnerwith IT/product teams to deploy technology solutions (EHR, practicemanagement systems).
- Driveinnovation to enhance productivity and reduce cost-to-collect.
5. Compliance & Risk Management
- Ensureadherence to regulatory requirements such as:
- HIPAA
- CMSguidelines
- Payer-specificpolicies
- Conductaudits and quality assurance programs.
- Mitigatecompliance and operational risks.
6. Stakeholder Management
- Engagewith internal and external stakeholders including:
- Clients/ Providers
- Payers
- Seniorleadership
- Presentinsights, improvements, and business outcomes to executives.
- Driveclient satisfaction and account growth through value-driven outcomes.
7. Team Leadership & Capability Development
- Leadand mentor COE teams including SMEs, analysts, and process experts.
- Buildcapability frameworks, training programs, and certification pathways.
- Fostera culture of continuous improvement, innovation, and collaboration.
Required Qualifications
Education
- Bachelor’sdegree in Healthcare Administration, Life Sciences, Finance, or relatedfield
- MBA/ MHA (preferred)
Experience
- 12–16+years of experience in healthcare RCM operations
- Minimum5–7 years in leadership / COE / transformation roles
- Strongexposure to end-to-end RCM processes
- Experienceworking with US healthcare market (mandatory for global roles)
Job Snapshot
Updated Date
Oct 27, 2026
Job ID
Job_805
Function
Archive (Do Not Use)
Location