What are the responsibilities and job description for the Director of Revenue Cycle Management position at OMS MEDICAL BILLING LLC?
Position Overview
OrthoMed Anesthesia is seeking a strategic, hands-on Director of Revenue Cycle Management (RCM) to lead and optimize all aspects of anesthesia billing operations. This critical leadership role is responsible for the full RCM cycle, with a specialized focus on anesthesia-specific complexities such as concurrency, medical direction, modifier usage, and payer compliance.
The Director will collaborate across departments—including clinical, IT, and executive leadership—to ensure financial accuracy, regulatory compliance, and operational efficiency across a growing network of providers and facilities.
Key Responsibilities
- Develop and implement RCM strategies to reduce days in A/R, improve cash flow, and minimize denials
- Oversee all components of the RCM process: billing, coding, charge posting, appeals, and patient financial services
- Monitor key performance indicators (KPIs) and produce actionable reports to inform decision-making
- Lead, mentor, and scale a team of onshore and offshore RCM personnel
- Collaborate with credentialing, compliance, and IT teams to optimize workflows and integrations
- Serve as the internal expert on anesthesia billing regulations and payer-specific requirements
- Identify revenue trends and proactively address compliance risks
- Support internal audits, payer negotiations, and staff training initiatives
- Perform additional duties as needed in alignment with OrthoMed Anesthesia’s mission
Required Qualifications
- Bachelor’s degree in Healthcare Administration, Finance, or equivalent professional experience
- Minimum 5 years of progressive RCM leadership, with a strong background in physician-based billing
- Deep understanding of CPT coding, ASA modifiers, concurrency rules, time documentation, and payer policies
- Knowledge of federal compliance standards, including CMS regulations
- Demonstrated success in team leadership, change management, and driving performance improvements
- Strong communication and analytical skills; experience with business intelligence (BI) tools is a plus
Preferred Qualifications
- AAPC, HFMA, or CRCM certification
- Experience with anesthesia-specific platforms (e.g., KAM, MedSuite, PPM, or PHI)
- Familiarity with Medicare, Medicaid, and major commercial payer billing guidelines
- Understanding of No Surprises Act (NSA), Independent Dispute Resolution (IDR), and Texas Department of Insurance (TDI) regulations
Why Join OrthoMed Anesthesia?
At OrthoMed, we are committed to building a forward-thinking anesthesia group rooted in transparency, compliance, and exceptional patient care. As part of our leadership team, you’ll receive:
- Competitive salary with performance-based bonus opportunities
- Comprehensive health, dental, and vision insurance
- 401(k) plan with 3% non-discretionary company contribution
- Paid holidays, PTO, and professional development support
- A collaborative and growth-oriented work environment
Salary : $110,000 - $140,000