We are assisting our client, Door County Medical Center (DCMC), with the recruitment and selection of their Director of Revenue Cycle. DCMC is a trusted, community-focused regional healthcare provider in Sturgeon Bay, Wisconsin. DCMC is seeking a strategic, results-driven healthcare finance leader to oversee the full revenue cycle, from patient access through cash collection.

This is a high-impact opportunity for an experienced revenue cycle leader to shape the financial health of a Critical Access Hospital operating under Medicare Method II reimbursement. Reporting to the Chief Financial Officer (CFO), the Director of Revenue Cycle leads Patient Access, Health Information Management (HIM), Coding, Revenue Integrity, Billing, Accounts Receivable, Denials Management, and Cash Posting. As DCMC's subject matter expert on revenue cycle strategy and performance improvement, the Director will optimize net patient revenue, improve cash flow, reduce reimbursement risk, and ensure regulatory compliance, all while supporting a culture rooted in compassion, service, excellence, and a patient-first financial experience.

The ideal candidate brings progressive healthcare revenue cycle leadership experience, a proven record of improving financial performance, and the ability to build accountability across teams while turning complex reimbursement requirements into practical, sustainable workflows.

This position is on-site in Sturgeon Bay, Wisconsin. Sturgeon Bay, located in the heart of Door County, Wisconsin, offers the perfect blend of small-town charm and vibrant year-round living. Known as the “gateway to the Door Peninsula,” the community sits between Green Bay and Lake Michigan, providing stunning waterfront views and abundant outdoor recreation. Residents enjoy a welcoming atmosphere, historic downtown, strong arts and culture scene, and access to top-tier parks, dining, and local events throughout every season. Relocation for this position is available. 

Principal Duties and Responsibilities:

• Supports Door County Medical Center's mission and strategic vision. Promotes and demonstrates an appreciation for organizational values and strategic initiatives.
• Directs Patient Access functions, including pre-registration, registration, scheduling, insurance verification, financial counseling, point-of-service collections, and financial clearance. Strengthens front-end data quality and reduces registration-driven denials.
• Oversees HIM and Coding operations, including inpatient, outpatient, and professional fee coding, release of information, and chart completion, to support accurate, timely, and compliant claim submission.
• Manages billing, follow-up, cash posting, and accounts receivable across hospital and professional billing claim streams. Resolves workflow bottlenecks between registration, coding, billing, and outsourced partners.
• Maintains Medicare Method II billing requirements, including provider reassignment of billing rights and accurate combined facility and professional claim construction. Partners with Medical Staff Services to ensure new providers are payer-ready from their start date.
• Leads revenue integrity programs, including charge description master (CDM) oversight, charge capture and reconciliation, billing compliance audits, and pricing reviews. Supports appropriate reimbursement under Critical Access Hospital (CAH) and Rural Health Clinic (RHC) methodologies.
• Ensures compliance with CMS, Medicare Administrative Contractor (MAC), Medicaid, and commercial payer requirements, including price transparency and financial assistance policies. Develops and enforces standard operating procedures.
• Leads denial prevention and reduction efforts through root-cause analysis, appeals, payer escalation, and cross-functional accountability for upstream drivers.
• Monitors payer reimbursement performance to identify underpayments, payment variances, and contract compliance concerns. Partners with Finance on payer contract implementation and the annual Medicare cost report process.
• Establishes and monitors revenue cycle KPIs, scorecards, and dashboards. Delivers analysis, forecasting, and recommendations to the CFO, executive leadership, finance and board committees, and auditors.
• Assumes accountability for annual revenue cycle goals, including net patient revenue, cash collections, accounts receivable, denial reduction, and bad debt. Collaborates on budgeting, operational planning, and long-term revenue cycle strategy.
• Leads revenue cycle technology optimization across the EHR, clearinghouse, and billing platforms. Serves as subject matter expert during system conversions, upgrades, and process changes.
• Oversees revenue cycle vendors and outsourced service providers, establishing service level agreements and holding partners accountable to organizational goals.
• Interviews, hires, develops, evaluates, and leads Patient Access, HIM/Coding, and Patient Financial Services staff and managers. Fosters collaboration through shared goals and builds team capability during periods of change.
• Promotes a positive patient financial experience through transparent billing practices, financial counseling, financial assistance programs, and service excellence standards.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Bachelor's degree in healthcare administration, accounting, finance, business, or a related field required; an equivalent combination of education and experience will be considered.
• Seven or more years of progressive healthcare revenue cycle leadership experience, including multi-department management responsibility, required.
• Demonstrated success improving net revenue performance, reducing denials, improving cash collections, and leading organizational change.
• Experience in a Critical Access Hospital, rural healthcare, or integrated provider/hospital billing environment strongly preferred.
• Experience managing Patient Access, HIM/Coding, Revenue Integrity, and Patient Financial Services functions strongly preferred.
• EPIC experience highly preferred, including familiarity with hospital and professional billing work queues, claim edits, and charge routing.
• Preferred credentials include CHFP, CRCR, CPC, RHIA or RHIT, and Lean Healthcare or Six Sigma certification.
• Strong understanding of hospital and professional billing workflows claims processing, denial management, payer contracts, and CMS guidance affecting CAH billing.
• Excellent leadership, communication, and organizational skills, including the ability to lead cross-functional initiatives and present performance insights to executive leadership, committees, and auditors.
• High attention to detail and the ability to manage competing priorities in a fast-paced, mission-driven rural healthcare environment.

DCMC offers a competitive wage and benefit package including health, dental, life insurance, long-term disability, retirement plan, continuing education, student loan assistance and more. DCMC encourages employee involvement, supports growth and development, and recognizes and rewards employee contributions. 

If you are an experienced revenue cycle leader who is energized by strengthening financial performance, building high-performing teams, and supporting a patient-first financial experience, please submit your resume via our client application portal.

Please Note: Wipfli is partnering with Door County Medical Center to support this recruitment process. You may receive communications from Wipfli regarding your application, interview scheduling, and participation in the hiring process. While Wipfli is assisting with recruitment activities, Door County Medical Center retains responsibility for candidate selection, hiring decisions, employment offers, and all final employment actions.

Door County Medical Center is an Equal Opportunity Employer