Sys VP Revenue Cycle Revenue Integrity

Job Summary

You will spearhead the strategic oversight and optimization of all revenue integrity functions across our organization. This includes critical areas like charge capture, Charge Description Master (CDM) management, strategic pricing, and comprehensive revenue integrity compliance.

Responsibilities

• Lead and direct all revenue integrity functions, including charge capture, CDM management, strategic pricing, and compliance, establishing strategic priorities and operating models.

• Develop and enforce standards for accurate, compliant, and timely charging practices to protect revenue, mitigate risk, and ensure sustainable financial performance.

• Oversee comprehensive charge capture and reconciliation processes across hospital and professional billing to ensure complete and accurate charging.

• Manage CDM maintenance and strategic pricing, ensuring alignment with reimbursement methodologies, regulatory guidance, and organizational pricing objectives.

• Direct all charge audit and compliance activities, including risk identification, monitoring findings, coordinating corrective actions, and managing third-party audit responses.

• Collaborate with various departments (operations, finance, clinical, IT) and vendors to integrate revenue integrity practices, foster accountability, and communicate key insights to leadership.

Requirements

• Required: Bachelors degree, 10+ years demonstrated experience in the understanding and management of healthcare revenue cycle, 12+ years in the healthcare industry with proven experience in a large, complex, multi-facility healthcare environment, and the ability to collaborate and work with people at all levels.

• PREFERRED: Masters degree.