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Certification CourseOn-Demand

Inspired Leadership

Strong revenue cycles are built by strong leaders. This self-paced course teaches the people side of revenue cycle management: setting standards, reading the numbers, preventing denials, protecting compliance, and coaching billers, coders and credentialing staff to perform. Lessons draw on HCI's 20+ years of billing and credentialing experience, with real-world case studies and ready-to-use tools in every module.

HCI-RCL: Revenue Cycle Leader

Earn This Credential

HCI-RCL: Revenue Cycle Leader

Awarded on completion — shareable on LinkedIn & social media

Earn 10 CEUs57 lessons

Webinar Objectives

  • Describe the end-to-end revenue cycle and the leader's role at each stage.
  • Use key performance indicators (days in A/R, clean claim rate, denial rate, net collection rate, credentialing turnaround) to set team goals.
  • Establish productivity and quality standards for coding, billing and credentialing staff.
  • Lead denial prevention through root-cause analysis and process fixes.
  • Build a compliance culture using audits, documentation standards and payer rules, including Medicaid.
  • Oversee payer enrollment, revalidation and contract issues that affect cash flow.
  • Hire, onboard, coach and retain revenue cycle staff, including remote teams.
  • Lead change during EMR, clearinghouse, payer policy and technology transitions.
  • Report revenue cycle performance to owners and executives in clear financial terms.

Format & Logistics

Format: Self-paced online, 10 modules / 630 minutes of instruction
Access period: 6 months from enrollment
Audience: Revenue cycle supervisors, billing and coding managers, credentialing leads, practice managers, and staff moving into leadership
Credential: HCI Seal of Certification upon completion (module quizzes, final exam, and applied project)
Continuing education: 10 AAPC CEUs
Course Content

Module 1: The Revenue Cycle Leader's Role

Lesson 1.1: The Revenue Cycle End to End

Lesson 1.2: The Behavioral Health and Medicaid Revenue Cycle

Lesson 1.3: Where Leaders Add Value

Lesson 1.4: From Doer to Leader

Module 2: KPIs That Drive the Team

Lesson 2.1: Why KPIs Matter and How to Choose Them

Lesson 2.2: Speed of Cash - Days in A/R and A/R Aging

Lesson 2.3: Claim Quality - Clean Claim Rate and Denial Rate

Lesson 2.4: Net Collection Rate and Credentialing Turnaround

Lesson 2.5: Turning KPIs Into Team Goals

Lesson 2.6: Case Study and Calculation Practice

Module 3: Productivity and Quality Standards

Lesson 3.1: Why Standards Matter

Lesson 3.2: Setting Fair Productivity Standards

Lesson 3.3: Role-by-Role Standards

Lesson 3.4: Measuring Quality - Audits and QA Scoring

Lesson 3.5: Rolling Out Standards Fairly

Lesson 3.6: Case Study

Module 4: Leading Denial Prevention

Lesson 4.1: The Cost of Denials and the Prevention Mindset

Lesson 4.2: Understanding Denials - Categories and Reason Codes

Lesson 4.3: Root-Cause Analysis

Lesson 4.4: Prevention at the Front End and Mid-Cycle

Lesson 4.5: Payer Trend Reviews

Lesson 4.6: Appeal Workflows That Work

Module 5: Compliance Leadership

Lesson 5.1: Why Compliance Is a Leadership Job

Lesson 5.2: The Seven Elements of a Compliance Program

Lesson 5.3: Documentation and Coding Integrity

Lesson 5.4: Internal Audits and Overpayments

Lesson 5.5: HIPAA in the Revenue Cycle

Lesson 5.6: Payer Audits and a Speak-Up Culture

Module 6: Payers, Contracts and Credentialing

Lesson 6.1: Why Payers and Credentialing Are Leadership Issues

Lesson 6.2: Credentialing and Enrollment Fundamentals

Lesson 6.3: Managing the Credentialing Lifecycle

Lesson 6.4: Contract Terms That Affect Cash

Lesson 6.5: Managing Payer Relationships

Lesson 6.6: Case Study - The Enrollment Delay

Module 7: Hiring, Onboarding and Retention

Lesson 7.1: The Real Cost of Turnover

Lesson 7.2: Defining Roles - Job Profiles and Competencies

Lesson 7.3: Hiring Well

Lesson 7.4: The First 90 Days - Onboarding

Lesson 7.5: Keeping Good People

Lesson 7.6: Leading Remote and Hybrid Teams

Module 8: Coaching and Accountability

Lesson 8.1: Coaching and Accountability Defined

Lesson 8.2: One-on-Ones That Matter

Lesson 8.3: Feedback That Works

Lesson 8.4: Difficult Conversations

Lesson 8.5: Performance Improvement Plans

Lesson 8.6: Accountability Across the Team

Module 9: Leading Change and Technology

Lesson 9.1: Why Change Is Hard and the Leader's Role

Lesson 9.2: Leading People Through Change

Lesson 9.3: System Transitions

Lesson 9.4: Managing Payer and Regulatory Change

Lesson 9.5: Automation and AI in the Revenue Cycle

Module 10: Reporting to Owners and Executives

Lesson 10.1: What Owners and Executives Need

Lesson 10.2: Revenue Cycle Finance Basics

Lesson 10.3: Turning Data Into a Financial Story

Lesson 10.4: The Monthly Executive Report

Lesson 10.5: Making the Case for Staffing, Technology and Budget

Lesson 10.6: Presenting and Handling Tough Questions