Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

Role Summary:

The Radiation Oncology Operations Director will report to the SVP, RCM and is responsible for optimizing workflows related to medical documentation and coding across all radiation clinics and EMRs. This role ensures accurate, timely, and compliant documentation, charge capture, coding alignment, while driving consistency across all sites through training, performance management, and continuous process improvement. The position serves as the operational bridge between clinical teams and revenue cycle functions to achieve compliant billing while maximizing financial performance and reducing revenue leakage.

Responsibilities:

Workflow Ownership & Optimization

• Serve as the organizational lead to optimize workflows within Radiation Oncology to ensure complaint, timely and accurate documentation and billing.

• Collaborate on end-to-end charge capture and documentation workflows across all sites with Radiation Oncology site leadership.

• Lead planning, execution, and stabilization of system implementations and workflow changes.

• Identify and resolve operational inefficiencies impacting revenue capture and clinical throughput

Standards & Governance

• Develop and maintain companywide standards for:

  • Charge capture workflows

  • Clinical documentation requirements

  • CPT coding alignment

  • ICD-10 coding workflows

• Ensure consistent adoption across all centers

• Partner with compliance and RCM to maintain regulatory and payer alignment

Training & Education

• Design and implement a comprehensive training curriculum across clinical and operational roles

• Develop role-specific training materials and system walkthroughs

• Deliver hands-on training for new workflows, templates, and system updates

• Establish onboarding programs for new hires

Performance Management & Analytics

• Define and track key performance metrics including charge lag, missing charges, denial trends, and documentation timeliness and accuracy

• Conduct regular audits and identify root causes of performance gaps

• Drive corrective action plans and targeted retraining initiatives

Continuous Improvement

• Establish recurring education programs including annual refreshers and targeted retraining

• Lead continuous process improvement initiatives to enhance efficiency and revenue capture

• Partner with operations leadership to scale best practices across markets

Cross-Functional Alignment

• Ensure alignment between clinical workflows and revenue cycle processes

• Act as liaison between clinical, RCM, and IT teams

• Support system selection, implementation, and future transitions

Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications:

• Bachelor’s degree or equivalent experience.

• 7+ of experience in Radiation Oncology operations.

• Deep understanding of charge capture workflows, CPT and ICD-10 coding, and documentation standards

• Proven experience leading or supporting EMR, billing system, or workflow implementations, including planning, go‑live execution, stabilization, and end‑user adoption.

• Strong working knowledge of healthcare compliance, payer requirements, and audit readiness, with experience partnering with Compliance and RCM teams to maintain standardized practices.

• Experience designing and delivering role‑based training programs for clinical and operational staff, including onboarding, workflow changes, and system updates.

• Ability to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root‑cause analysis, and drive corrective actions.

• Experience with workflow optimization, system implementation, and training delivery

• Experience working cross-functionally with clinical, operational, and RCM teams

• Familiarity with coding/workflow platforms preferred

Essential Competencies:

• Attendance is an essential job function.

• Ability to lead end‑to‑end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change

• Ability to establish governance standards and ensure alignment between clinical, compliance, and revenue cycle stakeholders

• Ability to design, deliver, and sustain role‑based training programs tailored to clinical and operational audiences

• Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions

• Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets

• Proven ability to drive operational performance and revenue improvement

• Strong collaboration, verbal, and written communication skills

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

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