Revenue Cycle Director (Multi-speciality & Capitated Care)

Company Information:

At California Dermatology Institute, a leading medical Dermatology practice we understand the importance of good skincare and are committed to providing our patients with high-quality care in a pleasant and professional atmosphere. Our board-certified dermatologists, physician assistants and staff are dedicated to providing the best treatment for all aspects of skin concerns utilizing the most advanced technology available for the best possible care and outcome for our patients.

Job Summary:

We are seeking a sophisticated, data-driven Revenue Cycle Director to oversee the full spectrum of our billing, collections and encounter processing across multiple clinical locations. This is a unique role requiring a dual mastery of Fee-for-Service (FFS) productivity and Capitated/Value-Based reimbursement models. The successful candidate will ensure seamless billing and collection efforts for our multispecialty service lines, optimizing cash flow while maintaining strict compliance with payer contracts, OIG and DHHS rules and regulations, and all other CCI compliance matters.

Job Title:

Revenue Cycle Manager (Multispeciality & Capitated Care)

Location:

Moorpark, CA

• Supporting Sites across

California and Arizona Reports To:

Chief Operating Officer /

Controller Classification:

Full-Time, Exempt Key Responsibilities:

Strategic Oversight:

Manage the end-to-end RCM process, including credentialing, eligibility, coding, claim submission, payment posting, and denial management.

Dual-Model Management:

• Maximize wRVU-based production in FFS environments (Dermatology/Specialty).

Monitor PMPM (Per Member Per Month) efficiency and "Shadow Billing" accuracy in capitated contracts.

Multisite Coordination:

Standardize billing workflows across all practice locations to ensure data integrity and uniform reporting.

Denial & Appeal Leadership:

Analyze denial trends and implement root-cause solutions to reduce "administrative hassle" for providers and staff.

Compliance & Auditing:

Work with Compliance Officer to conduct regular internal audits of coding and documentation to ensure alignment with CMS and private payer standards.

Reporting:

Provide monthly KPIs to the Executive Team, including Days in AR, Net Collection Ratio, and Clean Claim Rate.

Required Qualifications:

Experience:

Minimum of 5-7 years in Revenue Cycle Management, specifically within a multispecialty group setting.

Expertise:

Proven track record managing both Fee-for-Service and Capitated/Risk payment models.

Dermatology Knowledge:

Strong familiarity with dermatology-specific coding (E/M leveling, global surgical periods, and modifiers

• 25,•26, and•TC).

Technical Proficiency:

Advanced skills in PM System, e.g., Modernizing Medicine/EMA and Eziderm.

Preferred Qualifications:

Certification:

Certified Professional Coder (CPC) or Certified Professional Biller (CPB) credential.

Education:

Bachelor's degree in Healthcare Administration, Finance, or a related field preferred.

Network:

Familiarity with the California payer landscape (Medi-Cal, Commercial, and Medicare).

Core Competencies:

Analytical Mindset:

Ability to translate complex data sets into actionable operational improvements.

Deft Communication:

Capable of explaining financial metrics to clinical providers in a way that encourages "correct production" and alignment.

Adaptability:

Comfortable navigating the complexities of a growing organization with multiple moving parts and locations.

Job Type:

Full-time Pay:

$95,000.00

• $110,000.

00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Parental leave Vision insurance

Experience:

Medical office: 1 year (Required)

Language:

Spanish (Required) Ability to

Relocate:

Moorpark, CA 93021: Relocate before starting work (Required)

Work Location:

In person