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 always 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…

A day in the life…

Wondering what a day in the life of a Revenue Cycle Director at The Iowa Clinic might look like?

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:

Leadership & Strategy

• 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.

Operational Oversight

• 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.

Facility & Professional Billing Expertise

• 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.

Compliance & Risk Management

• Ensure compliance with federal and state regulations, payer contract requirements, and HIPAA guidelines.
• Develop policies and training programs to uphold billing accuracy and integrity.

Technology & Vendor Management

• 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.

Team Development

• 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.

Analytics & Reporting

• 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:

• Ability to effectively communicate with people from diverse professional, educational and lifestyle backgrounds both orally and in writing.
• Ability to give, read and understand/follow written and verbal directions.
• Ability to operate a computer, including proven general software skills and effective utilization of sophisticated spreadsheet software in statistical reports, budget preparation, etc.
• Must have strong ability and comfort in dealing with ambiguity under tight timelines.
• Must demonstrate ability to utilize effective decision-making and problem-solving techniques.
• Ability to relate favorably with people and gain their confidence.
• Ability to work independently and interdependently with physicians, management, staff and external constituencies.
• Requires organizational and self-motivational skills in prioritizing and managing multiple tasks with limited supervision.
• Must possess skills to operate business office machines, i.e., computer, fax and photocopy equipment.
• Ability to remain calm and professional in stressful situations and focused amid constant interruptions in a fast-paced environment.
• Ability to retrieve from both alpha and numeric filing systems.

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.

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What's in it for you

• One of the best 401(k) programs in central Iowa, including employer match and profit sharing
• Employee incentives to share in the Clinic's success
• Generous PTO accruals
• and paid holidays
• Health, dental and vision insurance
• Quarterly volunteer opportunities through a variety of local nonprofits
• Training and development programs
• Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on
• Monthly departmental celebrations, jeans days and clinic-wide competitions
• Employee rewards and recognition program
• Health and wellness program with up to $350/year in incentives
• Employee feedback surveys
• All employee meetings, team huddles and transparent communication