Associate Director, Revenue Integrity Operations

About the role

The Associate Director, Revenue Integrity Operations reports directly to the Vice President, Revenue Integrity Solutions and oversees Area Managers. This key client-facing role manages specialized teams supporting MRO business office and revenue integrity Release of Information (ROI) activities, ensuring compliance with hospital policies and federal/state regulations. The position acts as the liaison between MRO and client audit/PFS leaders, collaborating with Directors of Client Operations to support revenue integrity requests, workflow oversight, and operational excellence.

Responsibilities

• Overall management responsibility for Revenue Integrity ROI operations.
• Conduct meetings with client audit and HIM stakeholders to review Audit Manager requests, streamline workflow, create efficiencies, and provide issue resolution or suggestive guidance.
• Generate timely, concise, and effective business correspondence.
• Manage labor and expenditures to budget.
• Interact professionally with employees, customers, and colleagues.
• Demonstrate superior time management and attention to detail.
• Participate in process review and improvement meetings, as well as monthly and quarterly business reviews for clients.
• Ensure productivity standards and goals are met for direct reports.
• Oversee Area Managers in managing ROI Specialist workflow to meet productivity and quality standards, including work assignment adjustments for peak periods, leave, and vacancies.
• Ensure Area Managers perform Quality Assurance (QA) monitoring of work completed by ROI Specialists and review QA outcomes to identify trends and coaching needs.
• Ensure Area Managers conduct quarterly and annual performance reviews for ROI Specialists and support their professional development.
• Monitor Area Manager performance and provide feedback and evaluations.
• Promote a positive image of MRO through courteous and respectful interactions with patients, co-workers, and medical center personnel.
• Respond to customer needs in a positive, professional, and efficient manner.
• Improve processes, policies, and practices to achieve company goals and ensure regional policies are met.

Requirements

• Bachelor’s Degree in Health Information Management, Business Administration, or a health-related field (or equivalent experience).
• RHIT or RHIA certification preferred.
• 5+ years of HIM or revenue cycle payer audit denial work experience.
• Experience with Post Payment, Prepayment, and Government Audit workflows.
• Experience with healthcare information systems (HIS) strongly preferred.
• Customer-facing experience with proven success in managing customer relationships.
• Proficiency in Microsoft Excel.
• Detail-oriented with excellent verbal, written, interpersonal, and presentation skills.
• Ability to travel occasionally (up to 20%).
• Ability to thrive in a high-activity environment with a focus on excellent customer service.
• Proven ability to recruit, train, and motivate personnel.
• Participative management style—advocates a team concept.

Benefits

• Comprehensive benefits offering, including medical, dental, vision, and life insurance.
• 401(k) plan.
• Eligibility for an annual cash bonus.

Pay

Salary range: USD $99,000.00 – USD $133,000.00 per year. Individual pay may be influenced by skills, qualifications, experience, licensure, certifications, geographic location, and internal equity.