Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... Direct and oversee all revenue cycle operations including registration, charge capture, coding ...
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... Direct and oversee all revenue cycle operations including registration, charge capture, coding ...
Director of Revenue Cycle Management
Cincinnati, OH · On-site +1
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... Direct and oversee all revenue cycle operations including registration, charge capture, coding ...
Director of Revenue Cycle Management
Cincinnati, OH · On-site +1
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... Direct and oversee all revenue cycle operations including registration, charge capture, coding ...
... remote) revenue cycle team. A Day in the Life Oversee the following revenue cycle functions including coding, charge capture, billing, payer enrollment, claims processing, payment posting, accounts ...
... remote) revenue cycle team. A Day in the Life Oversee the following revenue cycle functions including coding, charge capture, billing, payer enrollment, claims processing, payment posting, accounts ...
Lead optimization efforts to improve documentation, charge capture, diagnostic workflows, care ... Remote
Lead optimization efforts to improve documentation, charge capture, diagnostic workflows, care ... Remote
Remote Charge Capture information
What are the key skills and qualifications needed to thrive as a Remote Charge Capture specialist, and why are they important?
What is a Remote Charge Capture specialist?
What is the difference between Remote Charge Capture vs Remote Medical Biller?
| Aspect | Remote Charge Capture | Remote Medical Biller |
|---|---|---|
| Credentials | Typically requires coding certifications, medical billing knowledge | Requires coding certifications, billing experience |
| Work Environment | Healthcare facilities, billing companies, remote | Healthcare providers, billing companies, remote |
| Industry Usage | Used in hospitals, clinics, outpatient centers | Used across healthcare providers, insurance companies |
| Primary Focus | Capturing charges at point of care or service | Processing and submitting claims for reimbursement |
Remote Charge Capture involves recording charges at the time of service, focusing on accurate data entry. Remote Medical Biller handles the submission of claims and follow-up for payments. While both roles require coding knowledge and work in healthcare settings, charge capture emphasizes real-time data entry, whereas billing centers on claims processing and reimbursement.
What are some common challenges faced by professionals in Remote Charge Capture roles, and how can they be addressed?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 7 days ago
Job description
- Health Insurance and Rewards Program
- Dental, and Vision Insurance
- Free Life amp; Short-Term Disability Insurance
- 403(b) Retirement Plan with employer match
- Comprehensive Paid Time Off (PTO)
- 10 Paid Holidays
The Director of Revenue Cycle is responsible for the strategic oversight and operational management of all revenue cycle functions within the FQHC environment. This role leads efforts related to patient revenue optimization, billing operations, coding compliance, risk-adjustment initiatives, claims management, payer relations, and reimbursement performance. The Director collaborates closely with clinical, operational, finance, and third-party billing teams to ensure compliant, efficient, and financially sustainable revenue cycle operations that support access to high-quality patient care.
- Direct and oversee all revenue cycle operations including registration, charge capture, coding, billing, claims processing, payment posting, denial management, collections, and reimbursement analysis.
- Lead revenue cycle strategy and performance improvement initiatives to maximize cash flow, reduce denials, and improve financial outcomes.
- Monitor and analyze key revenue cycle metrics including A/R trends, denial rates, clean claim rates, payer mix, days in A/R, and collection performance.
- Ensure compliance with FQHC billing regulations, HRSA requirements, Medicare, Medicaid, commercial payer guidelines, and other applicable regulatory standards.
- Oversee coding compliance and risk-adjustment capture (HCC) efforts in collaboration with providers and coding staff.
- Manage relationships and accountability with third-party billing vendors, clearinghouses, and payer representatives.
- Develop and implement policies, procedures, workflows, and internal controls related to revenue cycle operations.
- Partner with clinical and operational leadership to improve documentation accuracy, charge integrity, and reimbursement outcomes.
- Coordinate payer credentialing oversight and support contracting initiatives as needed.
- Lead audits, payer reviews, repayment responses, and corrective action planning when necessary.
- Prepare and present revenue cycle reports, financial analyses, and operational updates to executive leadership.
- Identify opportunities for workflow optimization, automation, EHR improvements, and operational efficiencies.
- Support annual budgeting, forecasting, and financial planning activities related to patient revenue.
- Supervise, mentor, and evaluate revenue cycle staff while fostering accountability and professional development.
- Maintain confidentiality and ensure compliance with HIPAA and organizational policies.
- Bachelor’s degree in healthcare administration, business, finance, health information management, or related field preferred; equivalent experience may be considered.
- Minimum of 5 years of progressive revenue cycle experience in healthcare required.
- Minimum of 2 years of leadership or supervisory experience required.
- Strong knowledge of CPT, HCPCS, ICD-10, FQHC billing regulations, PPS reimbursement methodologies, Medicare, Medicaid, and commercial payer requirements.
- Experience managing denials, payer audits, appeals, and reimbursement optimization initiatives.
- Knowledge of coding compliance and documentation improvement practices.
- Strong analytical, organizational, communication, and problem-solving skills.
- Experience working with EHR and practice management systems.
- Ability to collaborate effectively with clinical, operational, and financial leadership teams.
- Experience in a Federally Qualified Health Center (FQHC) strongly preferred.
- Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), Certified Coding Specialist (CCS), or related certification preferred.
- Experience overseeing outsourced billing vendors.
- Familiarity with NextGen, EPIC, or similar healthcare systems.
- Experience with value-based care, quality incentive programs, and risk-adjustment methodologies.
About HEALTHCARE CONNECTION
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
11 - 50 Employees
Headquarters location
Cincinnati, OH, US
Year founded
1967