Coding Ahead
CasePilot
Medical Coding Assistant
CaseConsultant
Instant Email Coding Consultant
Case2Code
Search and Code Lookup Tool
CareerCenter
Medical Coding Job Board
Log in Register free account

Director, Revenue Cycle Management

Medvidi

MEDvidi is transforming mental healthcare access across the US via a telehealth platform connecting patients with licensed providers for ADHD, anxiety, depression, insomnia, and related conditions.

The Director of Revenue Cycle Management will design, build, and operationalize an end-to-end commercial insurance revenue cycle starting with Florida and California, expanding to other states. Responsibilities include ownership of all revenue cycle stages from eligibility verification to payment posting, denial management, and payer performance reporting.

This role requires hands-on technical expertise in behavioral health telehealth revenue cycle setup.

Requirements:

  • Minimum seven years progressive revenue cycle experience in behavioral health, psychiatric, or substance use disorder settings
  • Proven experience building or significantly rebuilding revenue cycle operations
  • In-depth knowledge of behavioral health CPT coding (psychiatric evaluation, medication management E/M codes, psychotherapy add-ons)
  • Experience with commercial payer credentialing and enrollment in multi-provider, multi-state environments
  • Familiarity with MHPAEA parity law and telehealth billing regulations
  • Experience implementing practice management, billing, clearinghouse platforms
  • Proficient in denial management and root-cause analysis
  • Ability to develop provider documentation standards supporting coding accuracy
  • Strong knowledge of HIPAA Privacy and Security Rules
  • U.S.-based with HIPAA-compliant remote workspace

Preferred:

  • Experience in multi-state telehealth/digital health practices
  • Knowledge of 42 CFR Part 2 for substance use disorder billing
  • CPC, CCS, or CPMA certification
  • Healthcare finance background including GAAP knowledge
  • Experience collaborating in clinically integrated models

Key responsibilities include:

  • Building RCM infrastructure for multi-state behavioral health telehealth practice
  • Managing payer credentialing and enrollment process
  • Ensuring accurate behavioral health coding and billing compliance
  • Leading payer contracting and performance dashboard development
  • Staffing and educating the revenue cycle team
  • Maintaining audit readiness and regulatory compliance

This leadership role requires strategic and operational expertise in behavioral health revenue cycle management, emphasizing telehealth and multi-state payer systems.

Requirements & Qualifications
  • Seven+ years progressive revenue cycle experience in behavioral health or related healthcare settings
  • Experience building or rebuilding revenue cycle operations
  • Deep knowledge of behavioral health CPT coding and coding guidelines
  • Experience with multi-state commercial payer credentialing and enrollment
  • Familiarity with MHPAEA parity requirements and telehealth billing regulations
  • Proficiency with denial management and appeals processes
  • Familiarity with HIPAA Privacy and Security Rules
  • U.S.-based with HIPAA-compliant remote workspace
  • Preferred certifications: CPC, CCS, or CPMA
  • Experience in multi-state telehealth or digital health environments

Location

N/A

Employment Type

Contractor

Experience Level

Director

Remote work allowed

Yes

Posted

2 weeks ago

Similar Jobs
Revenue Cycle Specialist

Physician Management Resources

Massachusetts, US

Revenue Cycle Manager

Compass Laboratory Services

Memphis, Tennessee, US

Executive Director, Revenue Cycle

Illinois Bone and Joint Institute LLC

Illinois, US

$190,000+

View All Jobs

Get medical coding jobs in your inbox

Be the first to know about new opportunities