We are seeking a highly accountable, hands-on Revenue Cycle & Compliance Manager to take full ownership of the financial performance of our multispecialty clinic. This is a high-impact operational leadership role for a professional who thrives in complex healthcare environments and understands that sustainable margin performance begins with disciplined revenue cycle execution.

This is not a maintenance position. We are looking for a strategic operator who can rapidly assess current-state revenue cycle processes, diagnose root causes of revenue leakage, and implement corrective systems that drive measurable improvements in cash flow, accounts receivable performance, denial management, and collections. The successful candidate will bring both analytical rigor and operational follow-through—someone who is comfortable rebuilding workflows, enforcing accountability, and establishing transparent, real-time reporting that equips leadership with clear financial visibility and decision-making insight.

If you are motivated by measurable results, operational integrity, and building systems that perform under scrutiny, this role offers the opportunity to make a meaningful and lasting impact.

What you’ll do:

• Lead a full revenue cycle transformation within the first 6–12 months, including a comprehensive assessment, elimination of revenue leakage, reduction of >90-day AR, improvement of clean claim rate to ≥95%, denial rate below benchmark, and net collection rate to ≥95%.
• Own end-to-end revenue cycle operations, overseeing front-end revenue integrity, charge capture and coding accuracy, claims submission, denial management and appeals, AR performance, underpayment recovery, payment posting, and patient collections.
• Drive financial performance through data and analytics, developing executive dashboards and actively managing KPIs including days in AR, aging by payer, clean claim rate, denial trends, charge lag, and payer reimbursement performance.
• Optimize processes, systems, and team performance, standardizing SOPs, strengthening EMR/practice management workflows, eliminating single-point dependencies through cross-training, and establishing clear productivity and accountability benchmarks.
• Ensure regulatory and organizational compliance, serving as HIPAA Privacy and Security Officer, leading risk assessments and audits, maintaining payer credentialing (as structured), enforcing billing and documentation compliance standards, and overseeing required institutional training and policies.

What we are looking for:

• Bachelor’s degree in Healthcare Administration, Business, or related field.
• Five or more years of healthcare revenue cycle management experience.
• Experience in a multispecialty or complex physician practice.
• Demonstrated success improving AR, collections, and denial metrics.
• Strong payer contracting and reimbursement knowledge.
• Experience supervising billing teams.
• Deep knowledge of CPT, ICD-10, and payer guidelines.
• Strong analytical and reporting skills.
• Experience with EMR and practice management systems.
• CPC, CPB, CRCR, or similar certification.

*To see the full job description go to Position Description at the bottom of this posting.

Total Rewards:

Our employees are what make DMU special, so we treat them well!  Our Total Rewards reflect this commitment. Qualified faculty and staff enjoy a generous employer contribution towards the medical plan, 10% retirement match, flexible work arrangements, community service time, tuition assistance, professional development funding, and access to wellness facilities with programs that promote a well-balanced lifestyle. Visit www.dmu.edu/employment to learn more about our benefits. 

DMU is proud to offer employees generous benefits and perks, paid time off, free use of wellness facilities, and a host of employee engagement and recognition programs throughout the year.

About:

Founded in 1898, Des Moines University is a premier medical and health sciences institution comprising three colleges– College of Osteopathic Medicine, College of Podiatric Medicine and Surgery, and College of Health Sciences – offering ten graduate degree programs.

Our mission is to improve lives in our global community by educating diverse groups of highly competent and compassionate health professionals.

It is an exciting time to join DMU. In 2023, we relocated our primary academic and operational offices to a new 88-acre campus in West Des Moines, Iowa, while maintaining an active clinic on our former campus. This state-of-the-art campus includes technology-rich, flexible education spaces that support innovative teaching methods and connect faculty and students across all of our programs. Our new research facilities include a vibrant and spacious open laboratory, designed to foster collaboration and innovation.

DMU enhances our community’s quality of life by educating outstanding health professionals and leaders; providing expert, compassionate patient care; serving the community in diverse ways; and stimulating the central Iowa community.

At DMU you will make a meaningful contribution to the dynamic future of Medicine and Health Sciences by supporting a diverse community of faculty and staff with programs and services across the employee lifecycle.

Required Documents:

Resume, cover letter, and contact information for three professional references required at time of online submission. Apply at www.dmu.edu/employment.

Department: Clinic Administration

Status:  Exempt

About Des Moines University

Founded in 1898 in Iowa’s capital city, Des Moines University is a postgraduate medical university comprised of three colleges – College of Osteopathic Medicine, College of Podiatric Medicine and Surgery and College of Health Sciences – that offer nine graduate degree programs. Des Moines University combines the top advantages in medical education available today: an expert faculty, a rigorous and relevant curriculum, state-of-the-art facilities, a dynamic and diverse research environment, and a supportive, inclusive community of students and faculty active in learning and service. By consistently producing outstanding graduates who excel in their careers, DMU maintains one of the strongest reputations in the sphere of American medical education.

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