EXEC DIR REVENUE INTEGRITY
JPS Health Network
Fort Worth, TX (In Person)
Full-Time
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Job Description
Road:
1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence. 2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity. 3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS. When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you! For more information, visit www.jpshealthnet.org . To view all job vacancies, visit www.jpshealthnet.org , www.jpshealthnet.org/careers , or www.teamacclaim.org .Job Title:
EXEC DIR REVENUE INTEGRITY
Requisition Number:
req29494Employment Type:
Full Time Division:
REVENUE CYCLE
Compensation Type:
Salaried Job Category:
Director /Management Level Hours Worked:
Location:
JPOC 1400
Shift Worked:
Job Description:
Job Summary:
The Executive Director of Revenue Integrity leads the enterprise Revenue Integrity program, ensuring accurate charge capture, compliant documentation, optimal reimbursement, and denial prevention across the health system. This role partners across Revenue Cycle, Clinical Operations, Finance, Compliance, HIM, and IT to optimize revenue performance from point-of-care through final claim adjudication. The leader has executive oversight of charging strategy, compliance, and revenue leakage prevention, with accountability for financial performance, audit readiness, and operational efficiency.Essential Job Functions & Accountabilities:
Leads the system-wide Revenue Integrity strategy and roadmap aligned with financial and operational objectives. Establishes governance structures, performance standards, and reporting frameworks for Revenue Integrity programs. Drives initiatives to reduce revenue leakage and optimize reimbursement yield. Partners with Finance to analyze expected vs. actual reimbursement and identify variance drivers. Oversees Charge Description Master (CDM) integrity, pricing alignment, and regulatory compliance. Ensures accurate and compliant charge capture across Hospital (HB) and Professional (PB) services. Leads departmental charge capture audits and implement reconciliation and late charge recovery processes. Advances charge automation through Epic and ancillary systems to improve efficiency and accuracy. Identifies root causes of denials and implement pre-bill and post-bill edit strategies to prevent revenue loss. Collaborates with HIM, Coding, and CDI teams to ensure alignment between documentation, coding, and billing requirements. Ensures compliance with CMS, OIG, NCCI, and payer regulations and lead audit readiness and response efforts. Oversees Epic Revenue Integrity build, including charge routing, work queues, and rule-based automation, in partnership with IT. Monitors and drives performance against key KPIs such as charge capture rate, charge lag, denial avoidance, and net revenue improvement. Develops executive dashboards and financial impact reporting to support strategic decision-making. Leads cross-functional governance committees and provide education on charging compliance and revenue stewardship. Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within the current budget; develops cost estimates, forecasts, and expenditures to optimize rewards mix and ensures good governance and compliance processes. Oversees the development and implementation of organizational policies and procedures. Establishes departmental productivity and quality standards and measures performance against industry best practice benchmarks. Participates in leadership development activities; implements strategies and processes to improve employee morale and performance. Develops direct reports by defining roles/responsibilities and expectations, assigning and communicating performance and promoting professional growth and accountability. Performs annual performance reviews; develops goals and objectives. Provides coaching and development counseling. Provides input into the hiring decisions and recommendations for team members. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.Qualifications:
Required Qualifications:
Bachelor's degree in Healthcare Administration, Finance, HIM, Nursing, or related field of study from an accredited college or University. If applicable, associated licensure/certification to education (i.e. RN). 10 plus years of experience in Revenue Cycle or related field. 5 plus years of experience in progressive Revenue Integrity and Charging Compliance leadership.Preferred Qualifications:
Master's degree in Healthcare Administration, Finance, HIM, Nursing, or related field of study from an accredited college or University. System-level experience. CRCR, CHRI, CCS/CCS-P, CPC, or RN (preferred for clinical-facing RI models).Location Address:
1400 S. Main Street Fort Worth, Texas, 76104 United States Apply Now Share Save JobSimilar remote jobs
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