Director of Revenue Cycle Management

🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $103.7k - $155.5k / year

⏰ Full Time

🔴 Lead

👔 Director

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University of Maryland Faculty Physicians

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

📚 Education

🧘 Wellness

Healthcare • Education • Wellness

University of Maryland Faculty Physicians is a clinical group practice affiliated with the University of Maryland School of Medicine that provides a wide range of outpatient medical services, including dermatology, cardiology, ophthalmology, urgent care, facial plastic surgery, and medi-spa treatments. The organization operates multiple patient-facing clinics, offers patient portal services (MyChart), appointment scheduling, billing, and partners with the university for clinical education and faculty-led care.

📋 Description

• Oversee end-to-end revenue cycle functions including patient access, charge capture, coding, billing, collections, and payment posting • Manage revenue cycle operations for the medical practice and ambulatory surgery center • Monitor and analyze KPIs including days in A/R, denial rates, clean claim rates, and collection percentages • Develop and implement policies and procedures to optimize revenue capture and reduce claim denials • Ensure accurate and timely claim submission across commercial, Medicare, Medicaid, and workers' compensation payers • Maintain specialty-specific billing expertise for ENT, Allergy, Audiology, Facial Plastics, and Full Body Plastics procedures • Oversee ASC facility billing and coordinate professional fee billing • Ensure compliance with CPT, ICD-10, and HCPCS coding guidelines • Manage prior authorization processes for surgical procedures and implantable devices • Lead, mentor, and develop the billing team • Establish performance standards, conduct evaluations, and provide ongoing training • Coordinate with Clinical Managers, Surgical Coordinators, and Practice Administrator • Ensure compliance with federal and state healthcare regulations, HIPAA, and payer requirements • Monitor regulatory changes affecting reimbursement • Conduct audits for coding accuracy and billing compliance • Manage payer contract analysis and assist with contract negotiations • Prepare and present revenue cycle performance reports to leadership and physician owners • Identify trends, variances, and revenue enhancement opportunities • Develop and manage the departmental budget • Collaborate with the Practice Administrator on financial planning and forecasting

🎯 Requirements

• Bachelor's degree in healthcare administration, Business, Finance, or related field • Minimum 7-10 years of progressive experience in healthcare revenue cycle management • At least 3-5 years in a leadership/management role • Experience with multi-specialty physician practice billing • Experience with ASC/facility billing strongly preferred • Proficiency with practice management systems and EHR platforms • Strong knowledge of CPT, ICD-10, and HCPCS coding systems • Thorough understanding of payer contracts, reimbursement methodologies, and healthcare regulations • Master's degree in healthcare administration, MBA, or related field preferred • Professional certification: CPMA, CPC, CRCE-I, or similar preferred • Strong analytical and problem-solving abilities • Excellent leadership and team development skills • Superior written and verbal communication skills • Ability to work collaboratively with physicians, clinical staff, and administrative teams • Proficiency in Microsoft Excel, reporting tools, and data analysis • Detail-oriented with ability to manage multiple priorities • Strategic thinking with operational execution capability • Experience with ENT, Audiology, and/or Plastic Surgery billing • Experience with surgical scheduling and authorization workflows

🏖️ Benefits

• Total rewards package supporting employees’ life, career, and retirement