Director Revenue Integrity - Hybrid

Description:

This role serves as the strategic and operational bridge between clinical operations, finance, IT, coding, billing, contracting, and compliance. The Director leads proactive "fix and find" initiatives to prevent revenue leakage, reduce denials, improve audit readiness, and establish durable governance over pricing, charge capture, billing, payments, and payer performance.

Essential Responsibilities:

This description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time. Design and lead the Revenue Integrity strategy, governance model, and multi-year roadmap Establish policies, controls, and accountability across all Revenue Integrity pillars Own enterprise CDM governance, maintenance, and pricing methodology Ensure alignment between CDM build, clinical workflows, and regulatory requirements Oversee charge capture accuracy across hospital, professional, ASC, ancillary, pharmacy, and supplies Lead charge reconciliation processes (schedule-encounter-charge-claim) Reduce preventable claim errors, rejections, and denials Partner with Coding, HIM, and Billing to enforce payer rules, modifiers and documentation standards Ensure accurate posting of payments, adjustments, and patient responsibility Develop KPIs, dashboards, and executive reporting for leadership

Minimum Qualifications:

Education Bachelor's degree in Finance, Healthcare Administration, Business or related field Experience 8-10+ years of progressive experience in Revenue Integrity, Revenue Cycle, or healthcare finance required. Proven experience leading cross-functional initiatives and teams required. Experience with Chargemasters, Cerner, Epic, Meditech, or similar EHRs preferred. Proven ability to coach and train service line leadership in revenue cycle practices. Why choose Southeast Georgia Health System? Join a team driven by purpose. Our mission is to advance the health and well-being of our community, and every role at Southeast Georgia Health System directly contributes to that impact. We strive to be the trusted partner for health care in our community, and we're looking for people who are passionate about making a meaningful difference. What guides us every day are our core values of compassion, excellence, ownership, integrity & teamwork. We offer competitive salaries and a comprehensive benefits package which includes generous PTO, tuition reimbursement, retirement plans, wellness programs, and more.