Director of Revenue Cycle

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 750 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).
Compensation (Pay): $89,769.19 to 130,055.12 /annually, based on experience. 
Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/careers/employee-benefits-guide
Position Summary:
The Director of Revenue Cycle provides strategic and operational leadership for the organization’s Revenue Cycle functions, including Medical, Dental, and Behavioral Health Billing and Accounts Receivable, Coding, Credentialing, Payer Enrollment, Revenue Cycle Training, Business Systems, and Special Projects.

This position is responsible for optimizing Revenue Cycle performance through effective leadership, process improvement, technology, education, compliance, and cross-functional collaboration. The Director evaluates operational and financial performance, identifies opportunities for improvement, and develops strategies to enhance reimbursement, efficiency, accuracy, productivity, and financial outcomes.
Serving as a subject matter expert and strategic partner to executive, clinical, financial, and operational leadership, the Director ensures Revenue Cycle operations remain aligned with organizational goals, regulatory requirements, payer expectations, and industry best practices.

Essential Duties and Responsibilities:
Revenue Cycle Leadership and Strategy

• Provides strategic and operational leadership for assigned Revenue Cycle functions, ensuring alignment with organizational priorities and financial objectives.
• Serves as a subject matter expert on Revenue Cycle operations, reimbursement, coding, billing, payer requirements, and industry best practices.
• Evaluates performance, identifies operational and financial risks, and develops strategies to improve efficiency, reimbursement, accuracy, and compliance.
• Provides leadership with recommendations and updates regarding payer changes, regulatory requirements, new business opportunities, and service line expansion.

Operational Performance and Process Improvement

• Evaluates workflows, systems, and processes to identify opportunities for increased efficiency, accuracy, standardization, and productivity.
• Establishes and monitors performance measures, quality standards, productivity expectations, and operational goals.
• Leads improvement initiatives and projects, establishing objectives, timelines, accountability, and measurable outcomes.
• Identifies performance trends and operational barriers and coordinates corrective actions as needed.

Coding, Billing, Credentialing and Compliance

• Provides leadership and oversight for coding, billing, accounts receivable, credentialing, and payer enrollment functions.
• Ensures coding and billing practices align with applicable CMS requirements, payer policies, contractual obligations, and regulatory standards.
• Partners with Compliance, Clinical Operations, Finance, and other stakeholders to address documentation, coding, reimbursement, and billing concerns.
• Oversees processes for provider credentialing, payer enrollment, and recredentialing to support timely provider participation and reimbursement.
• Supports payer contracting activities and evaluates reimbursement methodologies and related operational impacts.

Revenue Cycle Systems and Training

• Provides leadership and oversight for Revenue Cycle business systems and training functions.
• Partners with Information Technology and operational teams to optimize systems, implement technology improvements, and support automation and workflow efficiencies.
• Ensures Revenue Cycle policies, procedures, training materials, and operational standards are accurate, current, and consistently implemented.
• Identifies training needs based on performance trends, audit findings, payer changes, and system updates, and evaluates training effectiveness.

Leadership and Collaboration

• Provides leadership, coaching, mentoring, and professional development to managers and team members within assigned areas.
• Establishes clear performance expectations and promotes accountability, collaboration, and continuous improvement.
• Builds effective partnerships across clinical, operational, financial, compliance, and technical teams.
• Communicates complex Revenue Cycle information and provides actionable recommendations to leadership and stakeholders.
• Maintains current knowledge of healthcare reimbursement, payer requirements, coding and billing regulations, and industry trends.

Core Competencies

• Comprehensive knowledge of the healthcare Revenue Cycle continuum, including billing, coding, reimbursement, credentialing, and payer operations.
• Strong strategic, analytical, financial, and operational management skills.
• Demonstrated ability to lead managers, multidisciplinary teams, and complex organizational initiatives.
• Experience with project management, process improvement, and organizational change.
• Ability to interpret performance data and develop actionable strategies.
• Strong leadership, communication, coaching, and relationship-building skills.
• Ability to collaborate effectively across clinical, operational, financial, and technical departments.
• Commitment to compliance, accountability, continuous improvement, and financial stewardship.

Performance Expectations: The Director is accountable for monitoring and improving key Revenue Cycle performance indicators, which may include coding quality and productivity, charge capture, claim accuracy, denials, reimbursement, credentialing and payer enrollment turnaround, system performance, staff productivity, training effectiveness, and process improvement outcomes.
 
Supervision Received: Vice President of Revenue Cycle Management 

Supervision Exercised: Patient Accounts staff specific to coding
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Suggested Competencies: Ability to multi-task and to manage several projects at one time and ability to work independently with limited supervision. Knowledge of organization policies, procedures and systems, skill in computer applications including MS Word, MS Excel. Knowledge of CPT, ICD-10, and HCC coding. Generate positive work environment with teams, leadership, and interacting departments. Knowledge of CMS guidelines and payer contracts.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:
Education: Minimum requirement is a bachelor’s degree in health-related field or business required. Master’s in health-related field or business preferred. 6 years of experience may be considered in lieu of bachelors. Federally Qualified Health Center experience preferred.
Work Experience:

• 7-10+ years of general experience required
• 5 years of leadership experience required

 
Computer Skills: Intermediate - ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros; customize toolbars, import and insert graphs, embed Excel data, and elaborate reports; work with multiple worksheets, filter data, use integrate functions, and manipulate databases; customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons.

Certificates and Licenses: N/A

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details.
The noise level in the work environment is usually quiet.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk.

Application Deadline: Applications will be accepted through 01/11/2026. This deadline is based on our current hiring needs and may be extended if necessary. Any extension will be reflected in this job posting.
 

*Successful candidates will complete pre-employment screening; which includes but is not limited to, a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol-free workplace and an Equal Opportunity Employer.

**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com