Healthcare Revenue Cycle Director: Reimbursement & Analytics

MP RPO; Wolfeboro (NH); On-site; USD 180,000 - 240,000; Full time

Job summary

MP RPO is seeking a Director of Revenue Cycle to oversee back-end revenue cycle operations for a healthcare organization. Reporting to the CFO, this leader will drive improvements in billing, coding, claims management, and cash posting while ensuring accuracy and compliance.

The role requires strategic thinking, analytics, and collaboration with clinical, financial, and operational teams to optimize reimbursement, reduce denials, and improve key metrics such as days in AR and net collection rate.

Qualifications

• Bachelor's degree in Business, Finance, Accounting, Healthcare Information Management, Information Systems, Mathematics, Statistics, or related field.
• 7+ years of healthcare revenue cycle experience with knowledge of billing, coding, and reimbursement.
• Deep knowledge of HCPCS, ICD-10, reimbursement practices, and regulatory requirements.
• Experience analyzing financial information, interpreting statements, and using cycle data to improve performance.
• Strong understanding of billing, claims, collections, and revenue cycle information systems.
• Ability to connect clinical documentation, coding, billing, and financial processes to maximize reimbursement.
• Experience managing teams, third-party vendors, and cross-functional relationships.
• Strong analytical, organizational, communication, and problem-solving skills.

Responsibilities

• Lead Revenue Cycle Operations: Oversee billing, coding, charge capture, claims submission, cash posting, and accounts receivable.
• Improve Financial Performance: Monitor KPIs like days in A/R, clean claim rate, denial rate, and net collection rate.
• Oversee Billing & Collections: Ensure timely claims submission, follow-up, and resolution of aging accounts.
• Ensure Coding Accuracy & Compliance: Oversee ICD-10, CPT, HCPCS coding processes and audits.
• Drive Denial Prevention: Analyze denial trends and implement strategies to reduce denials.
• Maintain Payment Integrity: Ensure accurate posting, adjustments, cash reconciliation, and AR reporting.
• Support Revenue Integrity: Partner with Patient Access and Decision Support to improve pricing estimates and reimbursement accuracy.
• Oversee Bad Debt & Financial Assistance: Manage workflows, vendor relationships, write-offs, and classifications.
• Deliver Financial Insights: Own dashboards and analytics; partner with CFO on revenue performance and forecasting.
• Lead & Develop Teams: Direct internal staff, set performance expectations, and drive continuous improvement.

Skills

Revenue cycle leadership

Analytical skills

Cross-functional collaboration

Team leadership

Vendor management

Financial analysis

Regulatory compliance

Problem solving

Education

Bachelor's degree in Business/Finance/Accounting/Healthcare Informatics

Tools

Revenue cycle software

Claims processing systems

Job description

MP RPO is seeking a Director of Revenue Cycle to oversee back-end revenue cycle operations for a healthcare organization. Reporting to the CFO, this leader will drive improvements in billing, coding, claims management, and cash posting while ensuring accuracy and compliance.

The role requires strategic thinking, analytics, and collaboration with clinical, financial, and operational teams to optimize reimbursement, reduce denials, and improve key metrics such as days in AR and net collection rate.