Director Mid-Revenue Cycle

Kootenai Health; Coeur d'Alene (ID); On-site; USD 210,000 - 270,000; Full time

Benefits offered by this job

Health insurance

Tuition assistance

Robust retirement plan

Job summary

Kootenai Health in Coeur d'Alene, ID seeks a Director Mid-Revenue Cycle to lead strategic and operational functions across hospital and professional services, ensuring compliant documentation, coding, charge capture, HIM operations, and revenue integrity.

The role collaborates with Patient Access, Central Business Office, Revenue Integrity, Transition Care Management, Compliance, Medical Staff, Information Technology, and Operational Leaders to optimize revenue capture, reduce leakage, and

Qualifications

• Bachelor's degree in health information management, healthcare administration, or related field.
• Master's degree preferred.
• Minimum 5 years’ management experience leading multiple departments or large teams.
• Minimum 7 years’ leadership in healthcare revenue cycle, coding, HIM, CDI, or revenue integrity operations.
• Certification: RHIA, RHIT, CCS, CCS-P, CPC, CPMA, CDIP, CCDS, CHFP, or equivalent.

Responsibilities

• Provides executive leadership and oversight of mid-revenue cycle operations across hospital and professional service lines.
• Develops strategic plans and initiatives supporting revenue cycle optimization and financial performance.
• Establishes a culture of accountability, continuous improvement, operational excellence, and customer service.
• Represents the organization in regulatory, payer, and industry forums as appropriate.
• Leads HIM modernization and technology optimization initiatives and process improvements affecting mid-revenue cycle functions.
• Collaborates with Finance and Revenue Cycle leadership on forecasting, business planning, and performance improvement initiatives.

Skills

Leadership

Communication

Change management

Epic experience

Revenue cycle

Coding knowledge

Education

Bachelor's degree in health information management or related field

Master's degree preferred

Tools

Epic

Job description

• Department Revenue Cycle - Business Services

Position Summary

The Director Mid-Revenue Cycle provides strategic and operational leadership for all mid-revenue cycle functions across the health system, ensuring accurate clinical documentation, coding, charge capture, health information management, and revenue integrity processes that support compliant reimbursement and optimal financial performance. This position is responsible for the oversight of Professional Coding, Hospital Coding, HIM Operations, and ED Abstracting functions.

The Director serves as a key member of the Revenue Cycle leadership team and collaborates closely with Patient Access, Central Business Office, Revenue Integrity, Transition Care Management, Compliance, Medical Staff, Information Technology, and Operational Leaders to create a seamless revenue cycle that reduces reimbursement risk, improves financial outcomes, and supports exceptional patient care.

The Director establishes organizational strategies, performance standards, and operational priorities that ensure documentation, coding, and health information processes remain compliant, efficient, scalable, and aligned with regulatory requirements and organizational goals.

Responsibilities

• Provides executive leadership and oversight of all mid-revenue cycle operations across hospital and professional service lines
• Develops and implements strategic plans, goals, and initiatives supporting revenue cycle optimization and organizational financial performance
• Establishes a culture of accountability, continuous improvement, operational excellence, and customer service
• Serves as a subject matter expert and advisor on documentation integrity, coding compliance, HIM operations, and reimbursement optimization
• Partners with executive leadership to identify opportunities to improve revenue capture, reduce revenue leakage, and enhance operational effectiveness
• Directs initiatives that improve reimbursement accuracy, revenue capture, case mix index (CMI), documentation quality, and coding performance
• Monitors and analyzes key performance indicators including coding productivity, coding quality, DNFB, CMI, CC/MCC capture, documentation query response rates, denial trends, and financial outcomes
• Identifies reimbursement opportunities and operational risks and implements corrective action plans
• Collaborates with Finance and Revenue Cycle leadership on forecasting, business planning, and operational performance initiatives
• Provides oversight for Professional Coding, Hospital Coding, ED Abstracting, and related coding functions
• Ensures coding practices comply with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, CMS, OIG, and payer-specific regulations
• Oversees coding quality monitoring programs, audits, and education initiatives
• Directs corrective actions resulting from internal and external audit findings
• Maintains organizational readiness for regulatory reviews, payer audits, and compliance assessments
• Serves as executive sponsor for coding optimization and automation initiatives
• Provides oversight and strategic direction for HIM operations, including document management, record integrity, release of information, deficiency management, record retention, and master patient index functions
• Ensures accuracy, integrity, security, and regulatory compliance of the legal health record including overlays and duplicate records
• Ownership of birth and death registry
• Oversees organizational compliance with HIPAA, Joint Commission, CMS Conditions of Participation, state regulations, and organizational standards
• Leads HIM modernization and technology optimization initiatives
• Leads process improvement efforts that improve efficiency, productivity, quality, compliance, and financial outcomes
• Utilizes data analytics to identify trends, performance gaps, and opportunities for operational improvement
• Collaborates with Revenue Integrity, Central Business Office, Patient Access, Clinical Operations, Central Billing Office, and Information Technology to improve end-to-end revenue cycle performance
• Provides leadership for technology implementations, workflow redesign projects, and automation initiatives affecting mid-revenue cycle functions
• Develops policies, procedures, and operational standards supporting best practices
• Directly supervises management personnel responsible for Professional Coding, Hospital Coding, HIM Operations, and other assigned departments
• Provides leadership, coaching, mentoring, and professional development opportunities for leaders and staff
• Establishes performance expectations and accountability measures across all areas of responsibility
• Supports workforce planning, succession planning, recruitment, employee engagement, and retention strategies
• Promotes collaboration across departments and fosters a culture of trust, respect, and continuous learning
• Partners with physicians, operational leaders, compliance, legal, quality, finance, patient access, and patient financial services teams to improve revenue cycle performance
• Represents the organization in regulatory, payer, professional association, and industry forums as appropriate
• Serves on organizational committees and leadership councils
• Communicates operational performance, risks, opportunities, and strategic initiatives to executive leadership
• Relies on experience and judgment to plan and accomplish goals
• Regular and predictable attendance is an essential job function
• Performs other related duties as assigned
• Competent to meet age-specific needs of the unit assigned

Requirements and Minimum Qualifications

• High School diploma or equivalent required
• Bachelor’s degree in health information management, Business Administration, Healthcare Administration, Nursing, Finance, or a related field required
• Master’s degree preferred
• Minimum 5 years’ management experience leading multiple departments, managers, or large operational teams required
• Minimum 7 years’ progressive leadership experience within healthcare revenue cycle, coding, HIM, CDI, or revenue integrity operations required
• Minimum of 1 or more of the following certifications required: RHIA, RHIT, CCS, CCS-P, CPC, CPMA, CDIP, CCDS, CHFP, or other applicable certifications
• Advanced knowledge of healthcare revenue cycle operations and reimbursement methodologies
• Extensive knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, MS-DRG, APR-DRG, and risk adjustment methodologies
• Strong understanding of HIM operations, documentation integrity, coding compliance, charge capture, and revenue integrity principles
• Knowledge of CMS, OIG, HIPAA, Joint Commission, state and federal regulatory requirements
• Proven ability to analyze operational and financial performance data and translate findings into actionable strategies
• Exceptional leadership, communication, relationship-building, and change management skills
• Experience with Epic and revenue cycle technology platforms preferred
• Ability to lead large-scale initiatives in a complex healthcare environment while balancing operational, financial, and compliance priorities
• Demonstrated success leading complex revenue cycle and operational improvement initiatives required
• Experience within integrated health systems and multi-site healthcare organizations preferred

Working Conditions

• Must be able to lift and move up to 10 lbs
• Must be able to communicate and exchange accurate information
• Typical equipment used in an office job

Why I love my job as a leader at Kootenai Health

A variety of medical, dental, and vision insurance plans are available to both full and part-time employees, with some available at no cost to the employee. In addition, benefit-eligible employees also gain access to the following:

• Tuition assistance and career development programs
• Robust Retirement Plan
• Night, weekend and PRN shift differentials

What makes a successful employee at Kootenai Health?