Revenue Cycle Director

Revenue Cycle Director

Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different we're locally owned and led by our physicians, and all decisions are made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. Think you've got what it takes to join our TIC team? Keep reading

The Revenue Cycle Director will lead and optimize revenue cycle operations for an integrated multi-specialty medical group and related outpatient surgery center. This position is responsible for the full scope of the revenue cycle, including professional and facility-based billing. The ideal candidate will bring deep knowledge of payer rules, coding practices, and regulatory compliance. They will partner closely with clinical, financial and operational leaders to ensure timely and accurate reimbursement, reduce accounts receivable and improve cash flow. This role requires a hands-on leader that can think strategically while driving day-to-day operational excellence.

Job Duties and Responsibilities :

• Lead the end-to-end revenue cycle for both professional and outpatient facility services, including front-end access, coding, billing, and collections.
• Develop and execute revenue cycle strategies that align with the organization's financial goals and regulatory environment.
• Monitor industry trends and payer policy changes to proactively adjust billing practices and mitigate risk.
• Oversee daily operations related to pre-visit patient registration, charge capture, coding, claims submission, payment posting and denial management.
• Ensure workflows are efficient, standardized, and consistently applied across all sites and services.
• Collaborate with the finance department to reconcile billing and revenue data and support financial forecasting.
• Maintain knowledge of CPT / HCPCS, ICD-10, modifiers, and payer-specific billing rules for both professional services and ambulatory surgery centers (ASC).
• Ensure proper use of revenue codes, fee schedules, and bundling / unbundling practices.
• Partner with coding and clinical teams to minimize claim rejections and denials.
• Ensure compliance with federal and state regulations, payer contract requirements, and HIPAA guidelines.
• Develop policies and training programs to uphold billing accuracy and integrity.
• Oversee revenue cycle technology platforms including practice management systems, EMRs, and clearinghouses.
• Evaluate and manage third-party vendors (e.g., coding services, collections agencies, billing software).
• Drive optimization initiatives using technology advancements.
• Manage and mentor revenue cycle staff.
• Set performance expectations, conduct evaluations, and promote a culture of accountability and continuous improvement.
• Identify training needs and support staff development initiatives.
• Track and report on key metrics such as days in A / R, clean claim rate, denial rate, and upfront collections.
• Use data to identify trends, root causes, and opportunities for revenue improvement.
• Present findings and performance dashboards to executive leadership on a regular basis.

Knowledge, Skills and Abilities Required :

This job might be for you if Education : Bachelor's degree in business related field. License / Certification : None. Work Experience : Minimum of 5-8 years' experience in a billing office operation, with 3-5 years of management experience in patient financial services and / or revenue cycle. Customer service knowledge. Demonstrated ability to apply process management skills within the work site. Experience in handling customers. Experience in strategic planning and finance and the ability to understand how this impacts the revenue cycle.

What's in it for you :