Revenue Integrity Director

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.

Key Responsibilities

• 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

Qualifications:

Preferred Areas of Expertise

• 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

Qualifications

• 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

Additional Details

• Remote opportunity with periodic travel to hospital locations
• Contract-to-hire engagement with long-term potential
• High-impact leadership role with visibility across revenue cycle and executive teams
• Ideal for candidates who combine strong operational leadership with deep technical knowledge of hospital revenue integrity functions

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.

Compensation

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