Director - Revenue Integrity (Remote)
Core
Deliver enterprise strategic and operational leadership to drive accurate, compliant, and optimized revenue capture across inpatient, outpatient, professional, and research-related services.
Role type
Director, Revenue Integrity
Builds
Enterprise Charge Description Master (CDM) governance, revenue cycle reporting systems, and executive-level revenue capture dashboards.
Domain
Healthcare administration / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Healthcare reimbursement workflows, CMS regulations, medical terminology, financial analysis, project management, regulatory compliance, vendor management, KPI development
Preferred skills
HFMA/NAHRI/AHIMA membership, CPA, Epic Resolute, Epic Charge Router certifications
Technologies
Epic, EHR systems, CPT/HCPCS coding systems, UB-04, CMS-1500 claim forms
Responsibilities
Lead enterprise CDM governance and maintenance; Establish revenue cycle reporting requirements; Resolve payer denial issues involving charge master; Educate departments on charge master usage; Ensure compliance with regulatory agencies; Develop executive-level revenue capture dashboards; Plan and schedule annual audits; Manage external CDM vendors; Lead process improvement initiatives for charge accuracy.
Seniority
Director, strategic leadership & team management