Director - Revenue Integrity - FT - Days - MHS

Director

• Revenue Integrity
• FT•Days•MHS Memorial Healthcare System•4.

0 Hollywood, FL Job Details Full-time 14 days ago Qualifications Medicare Supervising experience Bachelor's degree IT experience within healthcare Team management

Epic Full Job Description Location:

Fort Lauderdale, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

The Director of Revenue Integrity is responsible for leading all revenue‑integrity functions across the healthcare system, ensuring accurate, compliant, and optimized revenue capture. This role oversees charge capture, charge reconciliation, CDM (Charge Description Master) maintenance, pricing strategy, payment validation, and denial prevention. The Director acts as the primary liaison between clinical departments, revenue cycle operations, and Epic application teams, ensuring that workflows, charge logic, and billing processes are accurate, efficient, and aligned with regulatory requirements.

Responsibilities:

Directs the development, maintenance, and governance of the organization's pricing strategy within Epic and related systems.

Coordinates charge capture matters with other affected Epic teams (Radiant, Beaker, OpTime, etc.) and key departments (e.g., Supply Chain) to ensure accurate integration of data and workflows.

Prepares, monitors, and evaluates departmental budget and ensures that the department operates in compliance with allocated Memorial funding. Monitors, evaluates, and responds to changes in the state and federal legislative and regulatory rules affecting governmental payors, and communicates issues, concerns, and opportunities to affected parties in Memorial Healthcare System (MHS).Identifies barriers for self and team to timely complete priority projects and collaborates with others to overcome those barriers. Oversees staff relations including performance management, staff satisfaction, conflict management and requirements.

Develops and implements departmental goals and priorities, plans, standards, policies, and procedures for building and maintaining the system charge master that is consistent with the clinical, administrative, legal, and ethical requirements and objectives of the organization. Responsible for designing and implementing processes for accurate and timely charge capture, audit controls, and approvals.

Plans and monitors staffing activities including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Makes high‑level decisions regarding departmental operations including applications procurement and purchasing, service level determination, and complaint management, to achieve performance and quality control objectives.

Serves as a strategic partner with Information Technology and other departments to ensure appropriate charge capture processes are integrated with the implementation of new systems or organizational changes.

Oversees creation and maintenance of machine‑readable files, shoppable services lists, and patient‑facing cost‑estimate tools.

Allocates resources to other departments in order to monitor and provide training, support and troubleshooting to end-users of business applications. Stays abreast of market and industry research to inform application decisions and provide thought leadership around application enhancements and management. Acts as primary contact point and liaison to Memorial's Charge Description Master (CDM) and technology function by overseeing the planning, design, and installation of all relevant application systems.

Competencies:

Business Acumen, Concern for

Quality, Develop Relationships, Lead Through Vision, Manage Performance Education and Certification Requirements:

Bachelors (Required)

Additional Job Information:

Complexity of Work:

Requires high level of strategic leadership, independent judgment, and the ability to influence outcomes across diverse operational, clinical, and technical environments. Must be able to work in a fast-paced environment and take appropriate timely action. Essential to have thorough knowledge of Medicare and Medicaid, rules and regulations, correct coding, and billing instructions. Required to have experience in Epic Resolute Hospital Billing (HB) and a deep understanding of Charge Router logic, Charge Review Workqueues, Charge triggers and automated charge capture.

Proficient in Microsoft Office products.

Required Work Experience:

A minimum of seven (7) years of relevant experience including five (5) years of experience supervising/managing a team.

Other Information:

Additional Education Info:

Bachelor's degree in Finance, Accounting, Business Administration, or in a job related field.

Working Conditions and Physical Requirements:

Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 80% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0

• 25 lbs Non-Patient = 60% Lifting or Carrying 2501 lbs
• 75 lbs Non-Patient = 20% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0
• 25 lbs Non-Patient = 40% Pushing or Pulling 26
• 75 lbs Non-Patient = 20% Pushing or Pulling > 75 lbs Non-Patient = 20% Reaching = 20% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 0% Running = 0% Sitting = 60% Squatting = 0% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing
• Far = 60% Seeing
• Near = 60% Bio hazardous Waste = 0% Biological Hazards
• Respiratory = 0% Biological Hazards
• Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 60% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0%

Shift:

Disclaimer:

This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email