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Revenue Integrity Director
Job
Robert Half
Nashville, TN (In Person)
Full-Time
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Job Description
Our wonderful healthcare client is seeking an experienced Revenue Integrity Director to provide leadership across a complex, multi-hospital environment. This role will be responsible for overseeing revenue integrity operations, driving process improvement initiatives, strengthening reimbursement outcomes, and ensuring the accuracy of charge capture and revenue cycle workflows.
The ideal candidate will bring deep experience supporting multiple hospitals, leading high-performing Revenue Integrity teams, and partnering with clinical, operational, finance, and revenue cycle leaders to optimize financial performance.
Key ResponsibilitiesLead and develop the organization's Revenue Integrity function across multiple hospital facilitiesManage and mentor Revenue Integrity professionals while establishing performance expectations and accountability measuresOversee charge capture, charge master (CDM) maintenance, revenue recovery efforts, and billing compliance activitiesIdentify and remediate revenue leakage through data analysis, audits, and operational reviewsPartner with Patient Financial Services, HIM, Coding, Case Management, Clinical Operations, and Finance teams to optimize revenue cycle outcomesDirect revenue integrity reviews tied to inpatient, outpatient, emergency department, surgery, infusion, and ancillary service linesMonitor and improve key performance indicators related to charge lag, charge reconciliation, denial trends, reimbursement accuracy, and net revenue performanceLead root-cause analysis of revenue cycle issues and implement corrective action plansEnsure compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirementsSupport system implementations, upgrades, and workflow optimization efforts related to revenue cycle operationsDevelop and present executive-level reporting, dashboards, and revenue integrity metrics to senior leadershipAssist with internal and external audits, revenue recovery initiatives, and ongoing compliance monitoring
The ideal candidate will bring deep experience supporting multiple hospitals, leading high-performing Revenue Integrity teams, and partnering with clinical, operational, finance, and revenue cycle leaders to optimize financial performance.
Key ResponsibilitiesLead and develop the organization's Revenue Integrity function across multiple hospital facilitiesManage and mentor Revenue Integrity professionals while establishing performance expectations and accountability measuresOversee charge capture, charge master (CDM) maintenance, revenue recovery efforts, and billing compliance activitiesIdentify and remediate revenue leakage through data analysis, audits, and operational reviewsPartner with Patient Financial Services, HIM, Coding, Case Management, Clinical Operations, and Finance teams to optimize revenue cycle outcomesDirect revenue integrity reviews tied to inpatient, outpatient, emergency department, surgery, infusion, and ancillary service linesMonitor and improve key performance indicators related to charge lag, charge reconciliation, denial trends, reimbursement accuracy, and net revenue performanceLead root-cause analysis of revenue cycle issues and implement corrective action plansEnsure compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirementsSupport system implementations, upgrades, and workflow optimization efforts related to revenue cycle operationsDevelop and present executive-level reporting, dashboards, and revenue integrity metrics to senior leadershipAssist with internal and external audits, revenue recovery initiatives, and ongoing compliance monitoring