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Director of Revenue Integrity

United States, Carrollton · Job Posted May 05, 2026
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Job Description

The Director of Revenue Integrity is a newly created position that will lead and advance enterprise-wide revenue integrity strategy and performance. Reporting to the Vice President of Revenue Cycle, this leader will oversee charge capture, revenue reconciliation, Charge Description Master (CDM), denial prevention, and revenue analytics while serving as a key liaison between revenue cycle and clinical departments. The role is critical in maximizing gross and net revenue, ensuring regulatory compliance, and reducing financial leakage across the organization. The Director leads a team comprised of a CDM Coordinator, Charge Coordinator Specialists, a Clinical Auditor, and a Denial Prevention Analyst.

Job Responsibility

  • Lead enterprise-wide revenue integrity strategy and performance
  • Oversee charge capture, revenue reconciliation, Charge Description Master (CDM), denial prevention, and revenue analytics
  • Serve as key liaison between revenue cycle and clinical departments
  • Maximize gross and net revenue, ensure regulatory compliance, reduce financial leakage
  • Lead a team comprised of a CDM Coordinator, Charge Coordinator Specialists, a Clinical Auditor, and a Denial Prevention Analyst

Requirements

  • Bachelor's degree required
  • Minimum of 10 years of hospital revenue integrity experience, including 5 years in a leadership or management role within revenue integrity
  • Deep knowledge of CDM management, charge capture processes, denial prevention, and revenue reconciliation
  • Strong understanding of payer reimbursement methodologies (DRG/APR-DRG, OPPS, ASC, per diem, percent of charges) and CMS regulations
  • Proven ability to analyze KPIs, conduct audits, and implement corrective actions to improve financial performance
  • Epic and Craneware Trisus experience highly preferred

Nice to have

Epic and Craneware Trisus experience

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