Director, Healthcare Revenue Optimization

Columbia University Irving Medical Center; New York (NY); On-site; USD 160,000 - 180,000; Full time

Job summary

The Director of Business Optimization at Columbia University Irving Medical Center will partner with the Department Administrator, CFO, and revenue teams to optimize patient billing workflows, maximize revenue, and minimize errors while improving the patient experience.

This leadership role requires expertise in revenue cycle management, payer contracting, Epic systems, and data-driven process improvements, with a proven ability to reduce denials and elevate efficiency across the department.

Qualifications

• Bachelor’s degree or equivalent; five years of related experience.
• Strong knowledge of revenue cycle, reimbursement and payer contracting.
• Proficient in databases, BI tools, and spreadsheet applications.
• Excellent written and oral communication skills.
• Ability to work independently and collaboratively, with multitasking ability.

Responsibilities

• Manage department staff handling charge review edits, reports, estimates and enrollment tasks.
• Coordinate new programs with FRO staff and department liaison for revenue collection and denials.
• Attend payer meetings on behalf of the department.
• Monitor revenue cycle performance, write-offs, denials, and high-dollar charges.
• Update DRM documentation and provide staff training as needed.
• Monitor work queues to prevent revenue delays in coding/claims.
• Collaborate to achieve revenue targets and implement Epic initiatives.
• Interpret payer contracts with contracting, compliance, and finance.
• Oversee Epic SER provider records accuracy and payer enrollment dates.
• Lead annual CPT/ASA code updates for Epic dictionary mapping.
• Act as revenue cycle SME for the department; identify workflow issues in Epic PB Transaction Inquiry.
• Ensure HIPAA and billing compliance; perform general admin duties.

Skills

Database

Business Intelligence

Spreadsheets

Communication

Independent & Collaborative Work

Education

Bachelor’s degree or equivalent

Master’s degree (preferred)

Tools

Epic

Job description

The Director of Business Optimization at Columbia University Irving Medical Center will partner with the Department Administrator, CFO, and revenue teams to optimize patient billing workflows, maximize revenue, and minimize errors while improving the patient experience.

This leadership role requires expertise in revenue cycle management, payer contracting, Epic systems, and data-driven process improvements, with a proven ability to reduce denials and elevate efficiency across the department.