General Summary
The Director of Revenue Cycle Management (RCM) provides enterprise-level leadership and strategic direction for all revenue cycle operations at Urology Centers of Alabama (UCA). This position is accountable for the performance, integrity, and continuous improvement of the full revenue cycle—from charge capture and coding through billing, collections, and reimbursement—ensuring alignment with organizational financial goals, regulatory requirements, and best practices in healthcare revenue operations.
Unlike a managerial role focused primarily on daily workflows, the Director establishes revenue cycle strategy, performance standards, monthly reporting, and long-term optimization initiatives across all UCA entities and service lines. The Director partners closely with executive leadership, physicians, clinical operations, compliance, IT, and finance to drive sustainable revenue growth, mitigate compliance risk, and enhance operational efficiency.
Key responsibilities include oversight of the entire revenue cycle process including: front desk collections, prior authorization, benefits verification, coding accuracy, denial management, payment posting, payer contract performance, reimbursement optimization, and EMR revenue integrity auditing. The Director develops and monitors key performance indicators (KPIs), leads system and process transformation initiatives, and provides executive-level reporting and analysis to the CFO and senior leadership team.
Essential Functions
Strategic Revenue Cycle Leadership
1. Provide enterprise-level strategic leadership and oversight for all revenue cycle operations at Urology Centers of Alabama, P.C., including registration, charge capture, coding, billing, claims submission, payment posting, denials management, and collections.
2. Develop and execute revenue cycle strategies to maximize reimbursement, reduce revenue leakage, and improve cash flow
3. Establish, monitor, and report key performance indicators (KPIs) such as days in A/R, clean claim rate, denial rate, net collection rate, and reimbursement variance
EMR & Documentation Auditing
4. Lead ongoing audits of the EMR to ensure clinical documentation supports billed services, medical necessity, and compliance with payer and regulatory requirements
5. Partner with physicians and clinical leadership to address documentation gaps, coding accuracy, and workflow inefficiencies identified through EMR audits
6. Oversee pre- and post-billing audits to validate charge capture accuracy for urology-specific services, including office visits, procedures, diagnostics, surgeries, and ancillary services
7. Ensure EMR templates, order sets, and workflows support compliant, efficient, and standardized revenue cycle processes across all locations
Reimbursement & Compliance Oversight
8. Audit reimbursements to ensure payments align with payer contracts, fee schedules, and applicable regulations
9. Identify underpayments and overpayments and lead recovery, appeal, and refund processes as required
10. Monitor payer trends, reimbursement changes, and regulatory updates impacting urology services
11. Collaborate with Compliance and Legal teams to mitigate financial and regulatory risk related to coding, billing, and reimbursement practices
Denials Management & Financial Performance
12. Oversee denial prevention and appeals strategies, including root-cause analysis and implementation of corrective action plans
13. Analyze denial trends and implement system, documentation, and workflow improvements to reduce recurrence
14. Ensure timely follow-up and resolution of denied, delayed, or unpaid claims
Leadership & Collaboration
15. Lead, mentor, and develop revenue cycle leadership and staff, fostering accountability, compliance, and continuous improvement
16. Collaborate with physicians, clinical teams, IT, and Finance to align documentation, coding, and billing practices
17. Serve as a trusted advisor to executive leadership at Urology Centers of Alabama, P.C. on revenue integrity, reimbursement risk, and performance improvement opportunities
Reporting & Analytics
18. Prepare and present comprehensive revenue cycle performance and audit reports to executive leadership
19. Provide actionable insights related to reimbursement variances, audit findings, and revenue optimization opportunities
20. Support budgeting, forecasting, and strategic planning initiatives related to revenue cycle operations
Supervisory Requirements
This position will supervise the RCM Managers and subordinate staff.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.