Job Description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Scheduled Weekly Hours:

40

(Basic Purpose of the Job)

Provides leadership and ongoing development for enterprise-wide quality assurance, and education initiatives across revenue cycle. Responsible for developing and overseeing enterprise-wide education programs, quality monitoring frameworks, and audit remediation strategies spanning front-end access, coding, CDI, charging, billing, collections, and denial management. Partners closely with Revenue Cycle leadership to drive consistent, compliant, and high-quality practices that protect revenue, reduce risk, and improve financial and clinical outcomes.

MINIMUM REQUIREMENTS

Education: Bachelor's degree. A High School diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree. Master's degree preferred.

Experience: Seven years of progressively responsible, directly related experience, including leadership experience, when accompanied by a Bachelor's degree. Eleven years of progressively responsible, directly related experience, including leadership experience, when accompanied by a high school diploma or equivalent.

Other Credentials:

Knowledge and Skills: Advanced understanding of revenue cycle management. Strong analytical and communication skills required. Excellent verbal and written communications skills. Strong interpersonal skills

Special Training: Proficiency in curriculum development and execution. Effective planning, management, and prioritization abilities. Proven ability to manage change.

Mental, Behavioral and Emotional Abilities: Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast-paced environment. Ability to work with senior leadership. Ability to work independently to solve complex issues.

Usual Work Day: 8 Hours

Reporting Relationships

Does this position formally supervise employees? Yes

ESSENTIAL FUNCTIONS

Designs and leads an enterprise revenue cycle quality and education strategy aligned with organizational goals.

Develops, overseas, and monitors implementation of comprehensive education programs the revenue cycle.

Creates training tools and staff assessment materials, including but not limited to manuals, presentations, scripts, competency tests, tip sheets, and evaluation rubrics.

Develops standardized frameworks for quality measurement, and education delivery.

Serves as subject matter expert for quality and education initiatives impacting the revenue cycle.

Ensures consistent monitoring, scoring, reporting, and remediation processes. Develops standardized methods to communicate feedback to leaders and uses monitoring results to identify gaps in training materials.

Analyzes revenue cycle performance metrics to identify trends, areas for improvement and implements targeted educational.

Ensures education is competency-based, role-specific, and outcome-driven. Evaluates education effectiveness using post-training quality and performance metrics.

Incorporates industry changes in education material for effective and efficient revenue cycle operations.

Collaborates with revenue cycle leaders to design content and delivery method of education programs leveraging learning platform.

Supports implementation and optimization of new and existing systems.

Builds a culture of accountability, continuous improvement, teamwork, and professional growth.

Performs all other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Sitting , Standing , Walking , Keyboard use/repetitive motion , Talk or Hear

Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include:

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Extreme Temperatures , Radiation , Uneven Surfaces or Elevations , Extreme Noise Levels , Dust/Particulate Matter

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.