Revenue Cycle Managed Services - Middle Operations Lead

About Us

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com.

Job Overview

Impact Advisors is seeking a dynamic and motivated Middle Operations Lead to lead and optimize all Middle revenue cycle functions for our clients. This critical leadership role will be responsible for overseeing Coding, HIM, Revenue Integrity, and Clinical Documentation Improvement (CDI), ensuring the delivery of high-quality, efficient, and compliant revenue cycle services to both Acute and Ambulatory Healthcare Providers. The Director will manage operations across both domestic and near-shore business office teams, driving performance excellence and client satisfaction.

Responsibilities

• Oversight of Middle Revenue Cycle Functions: Provide comprehensive oversight of middle revenue cycle operations for our acute healthcare clients, specifically focusing on Coding, Clinical Documentation Improvement (CDI), Health Information Management (HIM), and Revenue Integrity.
• KPI Monitoring & Delivery: Proactively monitor and meticulously track key performance indicators (KPIs) related to middle revenue cycle operations. You'll be responsible for ensuring our clients meet and exceed their targets.
• Team Leadership & Development: Recruit, hire, train, mentor, and evaluate staff. Foster a culture of continuous learning, professional development, and high performance within the Middle Revenue Cycle functions. Conduct regular staff meetings, provide constructive feedback, and address performance issues. Develop and manage the departmental budget, ensuring efficient allocation of resources.
• Continuous Improvement Initiatives: Lead and administer continuous improvement initiatives, identifying opportunities for process optimization, technology adoption, and best practice implementation to enhance revenue capture and compliance.
• Innovation and Automation: Lead Impact Advisors efforts in enhancing Middle Revenue Cycle functions leveraging client EHR Systems (Epic), 3rd party technology, and the adoption of Artificial Intelligence (AI) automation capabilities.
• Management Operating Reviews (MORs): Support and actively participate in client Management Operating Reviews (MORs), presenting data, insights, and strategic recommendations to client executives.
• Communication & Collaboration: Serve as the primary liaison between Middle Revenue Cycle Functions and internal Impact Advisor stakeholders, Client Delivery teams, and Client executives. Collaborate closely with Patient Financial Services, Patient Access, Clinical Departments, and Case Management to identify and resolve issues impacting the revenue cycle.
  
  

Certifications

• Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or other relevant coding certifications are highly desirable.
• Clinical Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) is a plus.
  
  

Education And Experience

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field required. Master's degree preferred.
• Minimum of 7-10 years of progressive experience in Health Information Management, with at least 3-5 years in a leadership or management role overseeing coding operations.
• Demonstrated experience with inpatient and outpatient coding, auditing, clinical documentation, and compliance in a complex healthcare environment.
• Strong background in the Epic EHR platform
• Experience leading and integrating both domestic and offshore business office operations.
• Strong understanding of healthcare financial operations, billing regulations, coding guidelines (ICD-10, CPT, HCPCS), and payer methodologies.
• Commitment to maintaining patient privacy and confidentiality.
  
  

Skills And Competencies

• Expert knowledge of medical coding systems (ICD-10-CM/PCS, CPT, HCPCS) and official coding guidelines.
• In-depth understanding of healthcare regulations, laws (e.g., HIPAA, HITECH), and compliance standards.
• Comprehensive knowledge of revenue cycle management, reimbursement methodologies (e.g., DRGs, APCs), and auditing principles.
• Demonstrated ability to drive change, foster a culture of accountability, and achieve measurable results.
• Strong analytical and problem-solving skills, with the ability to interpret complex data and make data-driven decisions.
  
  

Additional Information

• Travel: Work remotely while traveling periodically (up to 50%) for client and internal initiatives
  
  

At Impact Advisors, we are committed to transparency and equity in our compensation practices. The compensation for this role includes a salary range of $125,000 to $200,000. For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms.

This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.

Our People and Culture

At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.

Join Impact Advisors and make a real difference in healthcare.