Director, Revenue Integrity

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

About the role

As Director, Revenue Integrity, you will lead a team focused on optimizing revenue cycle management processes, ensuring accurate billing and coding practices, and mitigating financial risks. You will collaborate closely with clinical, operational, and financial teams to enhance efficiency and compliance.

Responsibilities

• Oversee revenue integrity initiatives to improve accuracy and efficiency in billing and coding processes.
• Develop and implement strategies to reduce financial risk and ensure compliance with healthcare regulations.
• Collaborate with cross-functional teams to identify and address issues related to revenue cycle management.
• Provide guidance and training to staff on best practices in revenue integrity and coding.
• Monitor and analyze financial performance metrics to inform decision-making and drive improvements.
• Ensure adherence to regulatory standards and maintain compliance with relevant laws and regulations.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum 10 years of experience in revenue cycle management, healthcare finance, or a related field.
• Proven leadership skills and experience managing revenue integrity teams.
• Strong understanding of healthcare regulations and compliance requirements.
• Excellent communication and interpersonal skills to facilitate collaboration across departments.
• Ability to manage multiple projects simultaneously and meet deadlines.
• Proficiency in Microsoft Office Suite, including Excel and PowerPoint.

Qualifications

• Experience with revenue cycle management software and systems.
• Knowledge of healthcare coding standards and regulations.
• Experience with data analysis and reporting tools.
• Ability to work independently and as part of a team.

Skills

• Strategic thinking and problem-solving skills.
• Strong analytical and organizational skills.
• Effective written and verbal communication skills.
• Ability to handle sensitive and confidential information.

Benefits

• Competitive salary commensurate with experience.
• Flexible remote work options.
• Health and wellness programs.
• Professional development opportunities.
• Employee recognition and rewards program.

Pay

Salary range: $150,000 - $200,000 annually.

Schedule

Full-time position with flexible working hours.