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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
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