CrawlJobs Logo

Revenue Integrity Director

United States, Nashville · Job Posted June 29, 2026
Apply Position
Job Link Share

Job Description

Our wonderful healthcare client is seeking an experienced Revenue Integrity Director to provide leadership across a complex, multi-hospital environment. This role will be responsible for overseeing revenue integrity operations, driving process improvement initiatives, strengthening reimbursement outcomes, and ensuring the accuracy of charge capture and revenue cycle workflows. The ideal candidate will bring deep experience supporting multiple hospitals, leading high-performing Revenue Integrity teams, and partnering with clinical, operational, finance, and revenue cycle leaders to optimize financial performance. This opportunity is particularly well-suited for Revenue Integrity leaders who have managed large-scale, multi-hospital operations and can quickly assess opportunities to improve reimbursement, compliance, and revenue cycle performance.

Job Responsibility

  • Lead and develop the organization's Revenue Integrity function across multiple hospital facilities
  • Manage and mentor Revenue Integrity professionals while establishing performance expectations and accountability measures
  • Oversee charge capture, charge master (CDM) maintenance, revenue recovery efforts, and billing compliance activities
  • Identify and remediate revenue leakage through data analysis, audits, and operational reviews
  • Partner with Patient Financial Services, HIM, Coding, Case Management, Clinical Operations, and Finance teams to optimize revenue cycle outcomes
  • Direct revenue integrity reviews tied to inpatient, outpatient, emergency department, surgery, infusion, and ancillary service lines
  • Monitor and improve key performance indicators related to charge lag, charge reconciliation, denial trends, reimbursement accuracy, and net revenue performance
  • Lead root-cause analysis of revenue cycle issues and implement corrective action plans
  • Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements
  • Support system implementations, upgrades, and workflow optimization efforts related to revenue cycle operations
  • Develop and present executive-level reporting, dashboards, and revenue integrity metrics to senior leadership
  • Assist with internal and external audits, revenue recovery initiatives, and ongoing compliance monitoring

Requirements

  • Bachelor's degree required
  • Master's degree preferred
  • 7+ years of progressive Revenue Integrity leadership experience within hospital healthcare systems
  • Demonstrated experience leading a Revenue Integrity team
  • Required experience supporting multiple hospitals simultaneously
  • Strong understanding of hospital revenue cycle operations, charge capture processes, reimbursement methodologies, and regulatory requirements
  • Experience working with both Epic and Cerner systems is required
  • Proven ability to drive operational improvements and measurable financial results
  • Strong analytical, reporting, and project leadership skills
  • Exceptional communication abilities with experience presenting to executive leadership and operational stakeholders
  • Experience leading cross-functional initiatives in complex healthcare environments

Nice to have

  • Charge Description Master (CDM) management
  • Revenue leakage identification and recovery
  • Charge capture optimization
  • Clinical documentation improvement collaboration
  • Denial prevention initiatives
  • Medicare and Medicaid reimbursement
  • Revenue cycle analytics and reporting
  • Regulatory compliance and audit preparation
  • Hospital revenue cycle operations
  • Multi-facility healthcare environments

What we offer

  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Revenue Integrity Director

8 matching positions

System Director Revenue Cycle Revenue Integrity

Reporting to and working in collaboration with CommonSpirit Health Operations, t...
Location
Location
United States , Englewood
Salary
Salary:
80.17 - 119.26 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 15 years of Management experience with CDM and Charge Capture
  • 5 years Senior Leadership experience for CDM and Charge Capture
  • Epic experience
  • Registered Health Information Administrator
  • Registered Health Information Technician
  • Certified Coding Specialist
Job Responsibility
Job Responsibility
  • Leading, carrying out and monitoring activities related to the Chargemaster and Charge Capture activities
  • Collaboration and consistent communication with System and Division CommonSpirit Health Leaders
  • Leading the CommonSpirit Health CDM and Charge Capture enterprise to enhance effectiveness of patient net revenue realization and minimize revenue leakage
  • Overseeing revenue charge capture system to promote accuracy and integrity
  • Leading maintenance and enhancement of the chargemaster
  • Leading CommonSpirit Health CDM Governance including Strategic Pricing
  • Consulting with department managers to develop and implement policies for reconciling charges
  • Identifying opportunities for charge capture improvement through routine, random audits
What we offer
What we offer
  • Medical
  • Prescription drug
  • Dental
  • Vision plans
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Retirement plan benefit(s) including 401(k), 403(b), and other defined benefits offerings
  • Fulltime
Read More
Arrow Right

Interim Sr Director Revenue Integrity

Our Client is seeking a dynamic leader to oversee the development, implementatio...
Location
Location
United States , Phoenix
Salary
Salary:
85.00 USD / Hour
medasource.com Logo
Medasource
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in healthcare administration, finance, business, or related field (Master’s preferred)
  • Extensive experience in revenue integrity, charge capture, or healthcare revenue cycle management
  • Strong knowledge of regulatory requirements and compliance related to healthcare revenue cycle
  • Demonstrated leadership and staff management experience, with the ability to supervise, develop, and evaluate teams
  • Proven ability to develop, implement, and monitor revenue integrity programs and quality assurance functions
  • Experience with charge auditing and revenue recovery in acute and ambulatory service lines
  • Excellent analytical, reporting, and data interpretation skills, with the ability to prepare and present recommendations to senior leadership
  • Strong project coordination and change management abilities, including implementing regulatory changes and best practices
  • Effective communication and relationship-building skills with internal and external stakeholders, including the ability to negotiate and influence
  • Budget management and contract negotiation experience
Job Responsibility
Job Responsibility
  • Develop and sustain compliant charge capture workflows for clinician-driven revenue
  • Oversee documentation, audit, and system-driven revenue capture processes
  • Serve as the highest level of escalation for charge capture operations issues
  • Create and maintain quality assurance functions, including provider education, review, and feedback loops to preserve revenue integrity with charge entry and clinical staff
  • Monitor and implement regulatory changes impacting the revenue cycle, ensuring ongoing compliance
  • Coordinate and lead projects to implement required regulatory changes specific to revenue cycle operations
  • Lead charge auditing functions to generate revenue recoveries in acute and ambulatory service lines
  • Guide the development and implementation of goals and objectives for revenue integrity programs and processes, such as charge capture, compliance, Charge Description Master, and denials management
  • Incorporate best practices and respond to emerging trends to enhance operations, programs, and services
  • Implement and evaluate revenue integrity programs, develop effective tools to measure performance, analyze related data, prepare reports, and make recommendations to senior leadership
What we offer
What we offer
  • A flexible work environment
  • Opportunities for professional growth and leadership development
  • Health and life insurance
  • Employee share options
  • Supportive and collaborative team culture
  • Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
  • 401k plan with company match
  • Paid time off, sick time, and paid company holidays
  • Employee Assistance Program (EAP) providing services like virtual counseling, financial services, legal services, life coaching
Read More
Arrow Right

Director of Revenue Integrity

The Director of Revenue Integrity is a newly created position that will lead and...
Location
Location
United States , Carrollton
Salary
Salary:
Not provided
kirbybates.com Logo
Kirby Bates Associates
Expiration Date
Until further notice
Flip Icon
Requirements
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
Job Responsibility
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
  • Fulltime
Read More
Arrow Right

Director, Revenue Operations

Director, Revenue Operations, Paris, France. You'll be part of our Global Sales ...
Location
Location
France , Paris
Salary
Salary:
Not provided
mirakl.com Logo
Mirakl
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years in Revenue Operations, Sales Operations or GTM Strategy in B2B SaaS, ideally at a global, multi-product company
  • Proven track record of leading multi-functional, internationally distributed teams through periods of transformation
  • Deep expertise in Salesforce and data governance, including data architecture, CRM hygiene and API integrations as the foundation for AI deployment
  • Demonstrated ability to influence executive decision-making by translating commercial data into strategic narratives
  • Systems thinking with the ability to turn complex data into clear executive narratives
  • Fluency in AI tools and workflow automation platforms (e.g., Dust, Gong, Clay, Claude, n8n), curiosity to always stay up to date on innovation
  • Salesforce expertise and rigorous data governance instincts
  • Change leadership — the ability to bring teams and stakeholders through transformation with conviction and clarity
  • Commercial acumen across both Enterprise and SMB motions
  • Fluent in English and French (C2 level required)
Job Responsibility
Job Responsibility
  • Architect and deploy the AI-powered revenue engine
  • Drive global business monitoring and executive decision-making
  • Build operational excellence across the full revenue cycle
  • Enable new GTM motions and product launches
  • Lead, develop and inspire a global RevOps team of ~10
What we offer
What we offer
  • Public Transport Pass: Reimbursement on your public transport subscription
  • Health Insurance: Coverage tailored to individual or family needs
  • Meal Allowance: Monthly meal allowance provided by Mirakl
  • Hybrid Setup: 4 days in-office & 1 day remote
  • Gym Allowance: Access to partner gyms and wellness studios
  • Paid Time Off: Prorated paid vacation days per calendar year
  • Fulltime
Read More
Arrow Right

Director, Revenue Operations

Join Allied Universal® Technology Services, a global leader in transforming the ...
Location
Location
United States , Dallas
Salary
Salary:
130000.00 - 140000.00 USD / Year
aus.com Logo
Allied Universal®
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree in business administration, marketing, or related field of study
  • Minimum of five (5) years of experience in revenue operations, sales strategy, business operations, and/or sales leadership
  • Proficiency in Customer Relationship Management (CRM)
  • Configure, Price, Quote (CPQ)
  • and Excel-based analytics
  • Strong data analysis and reporting capabilities
  • Excellent communication and executive presentation abilities
  • Proven ability to collaborate cross-functionally and influence senior stakeholders
  • Strategic thinking and problem-solving mindset
  • Robust project management skills
Job Responsibility
Job Responsibility
  • Commercial Planning: Lead annual planning cycles including customer segmentation, sales headcount modeling, territory design, quota allocation, and compensation strategy
  • Strategic Sales Enablement: Partner with business and sales leadership to translate strategic goals into actionable sales initiatives
  • Customer Relationship Management (CRM) and Data Integrity: Ensure high-quality and governance across Salesforce (SFDC), Configure, Price, Quote (CPQ), and other commercial platforms
  • Performance Analytics: Build and manage dashboards to monitor Key Performance Indicators (KPIs) including pipeline health, conversion rates, and revenue metrics
  • Process Optimization: Standardize and improve workflows across the commercial organization to drive efficiency and effective sales execution
  • Executive Reporting: Develop and co-lead executive-level business reviews presentations and performance updates
What we offer
What we offer
  • Salary Range: $130,000 - $140,000 USD/yr
  • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
  • Eight paid holidays annually, five sick days, and four personal days
  • Vacation time offered at an accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.
  • Fulltime
Read More
Arrow Right

Hospital Billing - Revenue Integrity Manager

The Manager of Revenue Integrity is responsible for overseeing the daily operati...
Location
Location
United States , Hollywood
Salary
Salary:
Not provided
mhs.net Logo
Memorial Healthcare System
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associates (Required)
  • Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC)
  • Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC)
  • Minimum of five (5) years' Epic charge master (preferred) and/or billing experience
  • Able to build charge records (EAP) and controls (charge router, charge handler, and revenue guardian)
  • Minimum of three (3) years’ experience of supervising/managing a team
  • Candidate must have or be pursuing a coding credential (AHIMA or AAPC) which must be obtained within a year of taking the position
Job Responsibility
Job Responsibility
  • Manages the planning of application development and deployment
  • educates and promotes adherence to the organization's software compliance standards within the team
  • Selects opportunities identified by team to implement and improve existing processes using information technology and ensures alignment with strategic initiatives of the organization
  • Designs and evaluates the tools and processes used to capture charges in each MHS department
  • Updates the design of tools to empower departmental staff to accurately post charges efficiently, without rework
  • Designs and implements controls to empower departmental leaders to ensure staff have captured charges accurately and timely
  • Ensures Epic charge-related work queues are timely and correctly cleared
  • Utilizes subject matter expert skills to assist MHS leaders with analyses of billing, coding, and documentation requirements for payer coverage and payment of services affecting their service lines and initiatives
  • Monitors and provides training, support and troubleshooting to both application teams and end-users to facilitate proper usage and continuous learning
  • Manages applications projects including workflow analysis, end-user validation, acceptance, go‑live, and maintenance using standard project management methodology
  • Fulltime
Read More
Arrow Right

Director - Revenue Operations

We are looking for an experienced Director - Revenue Operations to lead the deve...
Location
Location
United States , Englewood
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 10 years of experience in Revenue Operations, Sales Operations, or Strategy, with a strong focus on building or rebuilding operational frameworks
  • Proven track record in high-growth or private equity-backed environments, with expertise in designing scalable processes
  • Extensive experience with Salesforce optimization, including system rebuilds and major enhancements
  • Demonstrated ability to design and implement forecasting, territory management, and compensation models
  • Strong skills in program management, with the ability to structure and execute projects efficiently in complex environments
  • Expertise in reducing manual workflows through process automation and data-driven solutions
  • Excellent systems thinking abilities, with a clear understanding of how processes, data, and behaviors interconnect
  • A pragmatic and curious mindset, with a high level of ownership and accountability
Job Responsibility
Job Responsibility
  • Collaborate with leadership to establish a robust Revenue Operations operating model, including workflows, ownership definitions, and cross-departmental handoffs
  • Develop and implement standardized processes for sales forecasting, pipeline management, and funnel visibility to drive accountability and performance
  • Design and execute frameworks for territory planning, quota setting, and compensation to ensure alignment with organizational goals
  • Partner with technical teams to rebuild and optimize Salesforce, ensuring system designs align with business needs and reduce manual efforts through automation
  • Maintain data integrity and reporting reliability across all operational systems to support decision-making
  • Lead cross-functional initiatives, acting as a liaison between Sales, Marketing, Customer Success, Finance, and Operations to ensure seamless execution of projects
  • Identify and address inefficiencies in processes, systems, and data, replacing manual efforts with scalable solutions
  • Document and transition all processes, frameworks, and operating rhythms to a permanent team for long-term scalability
  • Introduce program management best practices to prioritize, sequence, and allocate work effectively across the Revenue Operations team
  • Balance speed and practicality by implementing solutions that address real-world complexities without overengineering
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Director, Revenue Strategy Commercial Transformation Lead

The Engineering Enablement & Operations (EEO) team enables the Microsoft commerc...
Location
Location
United States , Multiple Locations
Salary
Salary:
130900.00 - 251900.00 USD / Year
https://www.microsoft.com/ Logo
Microsoft Corporation
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 4+ years experience in Near Term Strategy (2 years out), Management Consulting, Sales, or Finance
  • Bachelor's Degree in Business Administration, Marketing, Finance, Engineering or related field AND 5+ years experience in business consulting, sales, sales operations, information technology (IT), account management, business development, marketing, IT field sales, engineering or a related field OR equivalent experience
  • Master's Degree in Business Administration or related field AND 5+ years of marketing, strategy, sales, sales leadership, program management, project management, business planning, consulting, finance, economics, and/or partner organization experience OR Bachelor's Degree in Business, Finance, Economics, Computer Science, or related field AND 7+ years of marketing, strategy, sales, sales leadership, program management, project management, business planning, consulting, finance, economics, and/or partner organization experience OR equivalent experience
  • 3+ years people management experience
Job Responsibility
Job Responsibility
  • Manages key points of contact with internal teams (e.g., Finance, Marketing, Engineering, Field Sales)
  • Manages and cultivates relationships with external stakeholders and senior internal leaders (e.g., Directors, General Manager [GM] level, and higher)
  • Acts as an advisor to senior leadership as a domain expert within Strategy team and greater Microsoft, leveraging organizational context, and market awareness to guide less experienced colleagues and inform strategic business decisions
  • Demonstrates influences through partners across multiple divisions
  • Provides career mentorship to less experienced colleagues outside of Strategy function and is sought out by others for guidance and education
  • Identifies compelling projects and positions the team to carry them out
  • Managers deliver success through empowerment and accountability by modeling, coaching, and caring
  • Synthesizes findings into insights across sales projects, including implications that inform sales go-to-market objectives, leveraging executive presence to influence decisions and proactively identifying expansive ideas for field and partner sales strategy
  • Leverages insights to develop recommendations and seeks to provide thought leadership (e.g., sales trend identification, implications of competitor moves, solution area gaps) around potential future growth opportunities and strategic issues for Microsoft sales processes
  • Creates frameworks and methodologies to drive problem solving and insights
  • Fulltime
Read More
Arrow Right