Director, RCM Shared Services

OneOncology; United States; On-site; USD 150,000 - 210,000; Full time

Job summary

OneOncology is seeking a Director of RCM Shared Services (Urology) to lead strategic and operational revenue cycle initiatives across practice-based teams, vendors, and internal stakeholders. You will drive performance using analytics, implement best-practice workflows, and oversee in-house RCM teams to maximize financial outcomes while maintaining excellent patient and provider experiences.

Responsibilities include overseeing coding, charge capture, pre-authorization, payer trends, and

Qualifications

• 5+ years of healthcare and RCM leadership.
• Bachelor’s degree or equivalent experience.
• Experience managing third-party RCM vendors.
• Contract management and vendor oversight experience preferred.
• Coding certification preferred.
• Strong background in managed care payer market.
• Urology experience required.
• Strong verbal and written communication.
• Detail oriented and organized.
• MS Office skills: Excel and PowerPoint.
• Flexible schedule incl. evenings/weekends.

Responsibilities

• Oversee coding, charge capture, and reimbursement for urology services.
• Manage relationships with third-party RCM vendors and US team.
• Oversee RCM for cystoscopy, biopsies, imaging, ultrasound, lithotripsy, vasectomy, catheterization.
• Handle pre-authorization and medical necessity workflows for surgeries.
• Monitor payer reimbursement trends and regulatory changes.
• Ensure correct CPT/HCPCS/ICD-10-CM usage in urology.
• Oversee denial prevention and appeals for specialty procedures.
• Optimize ancillary revenue streams (pathology, labs, imaging, pharmacy).
• Collaborate with management to improve charge capture and documentation.
• Analyze utilization, RVU, denials, and net collections; report metrics.
• Support PM systems, EMRs, coding edits, and automation tools.
• SME on urology reimbursement regulations and payer policies.
• Ensure compliance with Medicare/Medicaid/commercial payer rules.
• Lead RCM readiness for acquisitions and new services.
• Monitor vendor KPIs, SLAs, and performance.
• Collaborate with RCM team for revenue cycle improvements.
• Be primary contact for division RCM communications.

Skills

RCM leadership

Urology experience

Communication skills

Attention to detail

MS Office

Payer market knowledge

Vendor management

Education

Bachelor's degree or equivalent

Coding certification

Tools

Microsoft Excel

PowerPoint

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description

Role Summary

The Director, RCM Shared Services (Urology) is responsible for leading strategic and operational initiatives for practice-based revenue cycle management (RCM) teams, third-party RCM vendors, and internal OneOncology stakeholders supporting urology practices. This position drives revenue cycle projects, utilizes analytics to optimize performance, implements best-practice workflows, and leads corporate in-house RCM teams focused on maximizing financial outcomes while maintaining exceptional patient and provider experiences.

Responsibilities

• Ensure accurate coding, charge capture, and reimbursement for urology office visits, diagnostic testing, surgical procedures, surgeries and ancillary services.
• Manage relationships with third-party revenue cycle vendors and global service partners as well as leading a US-based team.
• Oversee revenue cycle processes related to cystoscopy, prostate biopsy, urodynamics, imaging, ultrasound, lithotripsy, vasectomy, catheter management, and other common urologic procedures and surgeries.
• Manage pre-authorization and medical necessity workflows for surgical and procedural services, including hospital and ambulatory surgery center cases.
• Monitor payer reimbursement trends and regulatory changes impacting urology services and develop strategies to mitigate financial risks.
• Partner with management, coding, compliance, and provider leadership to ensure appropriate application of CPT, HCPCS, ICD-10-CM, and modifier usage specific to urology services.
• Oversee denial prevention and appeals processes for specialty-specific procedures, surgical claims, medical necessity denials, and bundled service edits.
• Ensure optimization of ancillary revenue streams, including pathology, laboratory, imaging, dispensing pharmacy, and other practice-based services.
• Collaborate with management, providers and practice leaders to improve charge capture, documentation quality, and reimbursement outcomes.
• Analyze procedure utilization, reimbursement performance, RVU productivity, denial trends, and net collection metrics to identify opportunities for improvement and report out on these metrics.
• Support implementation and optimization of practice management systems, EMRs, coding edits, and automation tools to improve revenue cycle effectiveness.
• Serve as a subject matter expert regarding urology/surgery reimbursement regulations, payer policies, fee schedules, and revenue cycle best practices.
• Ensure compliance with Medicare, Medicaid, commercial payer, and governmental regulations related to urologic services and physician practice billing.
• Lead revenue cycle readiness and integration efforts for acquisitions, new providers, service line expansions, and newly implemented ancillary services and any assigned lines of business.
• Monitor vendor performance using established KPIs, SLAs, and operational metrics.
• Collaborate with RCM team to improve reimbursement, collections, denial management, and workflow efficiency.
• Serve as the primary contact for division RCM communications, issue resolution, and performance reviews actively collaborating with management on identified issues.
• Ensure vendor compliance with contractual requirements, organizational policies, and regulatory standards.

Qualifications

• 5+ years of relevant healthcare and RCM leadership experience.
• Bachelor’s degree or equivalent experience required.
• Experience managing third-party revenue cycle vendors or outsourced RCM services preferred.
• Contract management and vendor oversight experience preferred.
• Coding certification preferred
• Strong background in managed care payer market
• Urology experience required.
• Strong verbal and written communication skills required.
• Must be detail oriented and organized
• Strong Microsoft Office skills required, including Excel and PowerPoint.
• High integrity, including maintenance of confidential information
• Ability to work a flexible schedule based on business need, including some evenings and weekends.