Surgical Information Systems ยท 4 days ago
Director, Process Excellence
Surgical Information Systems (SIS) has been empowering surgical providers for over 29 years by delivering innovative software and services. The Director of Process Excellence will lead the Quality Assurance and Training functions for the Revenue Cycle Services Team, ensuring efficient and compliant delivery of operations while driving continuous improvement across workflows.
Health CareHospitalSoftware
Responsibilities
Design, implement, and maintain a robust QA framework aligned to RCS workflows (Intake, Billing, Payment Posting, AR)
Oversee audits to evaluate accuracy, compliance, and workflow adherence across all revenue cycle areas
Develop audit scoring tools, audit calendars, benchmarks, and reporting dashboards for internal stakeholders
Review documentation quality, encounter integrity, compliance, and AR follow-up standards
Identify trends, root causes, and performance gaps; recommend and drive corrective and preventive actions
Oversee role-specific training programs for all revenue cycle functions, including new hire onboarding and cross-training
Maintain SOPs, workflow guides, competency tests, and training modules tailored to AR follow-up guidelines, claim submission processes, payer rules, and denial management
Collaborate with subject matter experts to ensure training content reflects regulatory requirements, payer updates, and SIS system enhancements
Measure training effectiveness by evaluating learner performance and post-training quality outcomes
Lead quality-driven process optimization for claim scrubbing, charge capture, coding workflows, billing cycles, and follow-up strategies
Evaluate workflow bottlenecks and quality-rework drivers; develop sustainable solutions with operations leadership
Partner with Product and Technology teams to identify system enhancements (e.g., automation, validation rules)
Oversee root cause analyses for recurring denials, coding inaccuracies, and billing defects
Directly supervise the QA Manager and Learning & Development Manager, and their respective teams across U.S. and India
Build a culture of accuracy, compliance, continuous improvement, and people-first leadership aligned to SIS values
Present audit findings, training outcomes, and quality trends to RCS executives and cross-functional partners
Serve as a strategic advisor on quality risks, readiness for new service lines, and operational scalability
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, HIM, Education, or related field (or equivalent experience)
7+ years of experience in healthcare revenue cycle operations, with at least 3 years in QA/training leadership
Deep understanding of ASC and/or hospital revenue cycle workflows including coding, billing, posting, AR, and denial management
Experience designing training programs and QA frameworks for revenue cycle teams
Strong analytical skills with ability to interpret audit results, identify trends, and define improvement strategies
Excellent organizational, communication, and leadership skills
Ability to work collaboratively across teams and manage multiple priorities in a fast-paced environment
Commitment to process excellence, compliance, and staff development
Preferred
Professional certifications such as CPC, CPB, CCA, RHIT, CHFP, or similar
Experience working with SIS/SN platforms or similar healthcare RCM systems
Experience with LMS tools, QA scoring systems, and workflow automation solutions
Benefits
Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
Vacation/Sick time
401(k) retirement plan with company match
Paid Holidays
SIS Cares Day
Hybrid or Remote environment depending on the role
Company
Surgical Information Systems
Surgical Information Systems has been dedicated to providing surgical care providers with the solutions and services.
Funding
Current Stage
Growth StageTotal Funding
unknown2020-10-15Acquired
2020-01-01Series Unknown
2010-12-01Private Equity
Recent News
2025-07-30
Company data provided by crunchbase