Clinical Operations and Revenue Cycle Specialist

Job Summary

The Clinical Operations and Revenue Cycle Specialist will focus on clinical and quality initiatives, faculty experience, revenue cycle, and external engagement. This position places a central role in supporting operational and quality improvement projects, redesigning and standardizing the faculty orientation experience, formalizing Emergency Department visits with external organizations into a consulting model and partnering with department leadership to support revenue cycle optimization.

Key Responsibilities

Clinical Operations and Quality Improvement (25%)

• Lead operational and quality improvement projects across Emergency Medicine clinical operations, ensuring alignment with departmental goals and mission.
• Partner with clinical leaders, faculty, and operational stakeholders to identify workflow inefficiencies, quality gaps, and operational risks, and develop data-driven solutions.
• Support continuous improvement initiatives by tracking outcomes, defining metrics, and reporting progress to leadership.

Faculty Orientation & Experience (25%)

• Revise, standardize, and maintain the faculty orientation program, ensuring consistent, high-quality onboarding experience across clinical, academic, and operational domains.
• Collaborate with departmental leaders to ensure orientation content reflects current workflows, documentation standards, quality expectations, and compliance requirements.
• Serve as a key resource for new faculty during onboarding, supporting early adoption of best practices in clinical operations, documentation, and departmental processes.

External Engagement (25%)

• Formalize ED site visits and engagements with external organizations into a structured consulting model, including standardized scopes of work, deliverables, timelines, and reporting frameworks.
• Support operational, financial, and analytical components of external engagements to ensure value delivery and alignment with departmental strategy.
• Partner with department leadership to track outcomes and assess opportunities for growth and sustainability of external consulting activities.

Revenue Cycle (25%)

• Monitor revenue cycle performance and collaborate with department leadership and CU Medicine to identify gaps and improvement opportunities.
• Maintain up to date knowledge and expertise on the evolving coding, documentation, billing and reimbursement developments pertaining to emergency medicine.
• Create reports, summarize information, and analyze billing trends including CPT code usage, payer mix, write-offs, denials, days in A/R, and date of service vs date of post.
• Interface with CU Medicine to ensure that billing and collection for the professional services of the Department achieves appropriate and optimal reimbursements.
• Provide assistance in updating/educating of billing faculty to changes in CPT codes, contracted reimbursement rates, coding or compliance issues.
• Assist in interpreting and integrating current compliance directives and policies to ensure that billing faculty are in compliance.
• Work with compliance staff in the auditing of provider documentation and issue resolutions.