"Director - Revenue Management & Training"

Scope of Position

The Director of Revenue Integrity provides strategic leadership to ensure the department meets organizational goals. The Senior Director aligns revenue integrity, charge description master, and pricing strategies with the health systems mission. This role ensures compliance, quality, and financial assurance across the enterprise.

Position Summary

This position provides strategic leadership for the Revenue Management department, which includes revenue integrity, pricing, and the chargemaster. Responsibilities include ensuring compliance with governmental and payer regulations, managing operations and fiscal matters, and driving revenue optimization while preventing leakage. The role directs charge capture, reconciliation, pricing, and reimbursement practices; provides education, auditing, and monitoring; and partners with stakeholders to ensure compliant billing and coding for new and existing services. Responsibilities also include revenue-related reporting, analysis, and process improvements to support compliant, sustainable net revenue growth.

Engagement, Development, & Leadership:

Responsible for strategic planning, program development, workforce management, and overall administration of the Revenue Management team. Fosters an engaged workforce built on trust and respect, ensuring staff receive appropriate training and support. Communicates effectively across all organizational levels and involves team members in relevant decisions. Provides regular performance feedback, supports improvement efforts, and ensures fair, consistent application of organizational and departmental policies.

Quality Assurance and Continuous Improvement:

Ensures all assigned activities comply with regulatory requirements and third‑party agreements, while establishing and maintaining quality standards for core functions to ensure processes operate within defined benchmarks. Co-leads the Revenue Cycle Compliance Subcommittee with peers to drive collaboration, communication, and execution of regulatory and compliance requirements, including senior leadership reporting, the OIG workplan, CMS mandates, and other governing body standards.

Minimum Qualifications Required:

• Education: Masters degree in Business, Health Information Management, or related field; or equivalent combination of education and experience.
• Credentials: RHIA, RHIT, CCS, and/or COC required.
• Experience: Minimum of 10 years in hospital health information, clinical coding, and/or revenue cycle management, such as strategic pricing, chargemaster, revenue integrity, etc.
• Revenue Cycle Expertise: Identifies issues across revenue cycle, clinical operations, and financial teams; serves as liaison between Operations, Finance; supports achievement of revenue cycle goals and key performance indicators.
• Problem Solving & Analysis: Strong analytical skills to assess operational needs and implement effective processes, protocols, and tools.
• Leadership & Management: Proven track record in managing priorities, organizing work structures, and leading teams in fast-paced environments.
• Communication: Excellent written, verbal, and interpersonal skills; adept at collaborating across all levels of management.
• Regulatory Knowledge: Maintains current knowledge of industry requirements and regulations, including documentation and billing practices, through review of Federal Registers, OIG, and other publications.
• Team Culture: Fosters a collaborative, team-focused environment that promotes engagement and accountability.