Director Revenue Integrity - Hybrid

Job description

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, an...