Director, Revenue Cycle

Summary

Join Datavant today as the Director, Revenue Cycle Services and lead the professional fee coding services, denials management, Clinical Documentation Improvement (CDI), Abstraction services, and related business lines. This pivotal role ensures optimal performance, drives customer satisfaction, and supports business growth while maintaining compliance with industry standards.

Requirements

• Bachelor’s degree in business, healthcare administration, or a related field; Bachelor’s degree from an AHIMA certified HIM Program or Nursing Program preferred
• Minimum of 10 years of experience in revenue cycle management or a related field, with strong leadership capabilities
• Extensive coding background and certifications such as CCS preferred
• Strong analytical and communication skills, with the ability to present data clearly to various audiences
• Proven ability to manage large teams and drive performance improvement initiatives
• Client and partner relationship management experience

Responsibilities

• Provide operational oversight for Revenue Cycle Services, aligning initiatives with organizational goals
• Maintain customer retention and satisfaction by proactively resolving issues and anticipating client needs
• Report ‘at-risk’ accounts to VP according to guidelines and policies
• Support client account review meetings with clients to discuss performance metrics, volume trends, and quality audit scores
• Ensure that team members maintain established customer service and productivity standards
• Oversee daily operations of the department including forecasting, onboarding, and training
• Collaborate with the Auditing and Education department implement internal coding audits and quality assurance initiatives
• Ensure compliance with internal coding policies and modern coding practices
• Oversee performance of offshore partners and escalate issues accordingly
• Conduct meaningful performance appraisals and implement development plans for staff
• Monitor new account start-ups and liaise with Director, HIM Revenue Cycle Solutions and Strategy for a seamless handoff between Sales and Delivery
• Evaluate department budget and propose process improvement initiatives to optimize performance related to quality, productivity, cost-effectiveness and operational efficiency
• Monitor staff billable and non-billable time and implement strategies for optimizing utilization and capacity planning across functions
• Communicate effectively with stakeholders, including executives and clients, to drive alignment and achieve organizational objectives
• Build strong partnerships across departments to enhance service delivery and operational performance
• Foster a culture of trust and transparency within the department and across functions