Job Details

Interim Director of Revenue Integrity

Remote Role

ABOUT THE ROLE

Our Client is seeking a dynamic leader to oversee the development, implementation, and long-term sustainability of compliant charge capture workflows and revenue integrity programs. This pivotal role is responsible for ensuring accurate documentation, auditing, and system-driven revenue capture, serving as the highest level of escalation for charge capture operations. The position includes creating and maintaining quality assurance functions, providing provider education, and establishing feedback loops to preserve revenue integrity. You will monitor regulatory changes, coordinate projects to implement required updates, and lead charge auditing functions across acute and ambulatory service lines. Additionally, you will supervise staff, manage budgets, develop policies and internal controls, build stakeholder relationships, and provide strategic recommendations to senior leadership to support the organization’s financial stability and performance metrics. This role requires strong leadership, the ability to influence and negotiate, and a commitment to continuous quality improvement and operational excellence.

WHAT YOU’LL DO

• Develop and sustain compliant charge capture workflows for clinician-driven revenue.
• Oversee documentation, audit, and system-driven revenue capture processes.
• Serve as the highest level of escalation for charge capture operations issues.
• Create and maintain quality assurance functions, including provider education, review, and feedback loops to preserve revenue integrity with charge entry and clinical staff.
• Monitor and implement regulatory changes impacting the revenue cycle, ensuring ongoing compliance.
• Coordinate and lead projects to implement required regulatory changes specific to revenue cycle operations.
• Lead charge auditing functions to generate revenue recoveries in acute and ambulatory service lines.
• Guide the development and implementation of goals and objectives for revenue integrity programs and processes, such as charge capture, compliance, Charge Description Master, and denials management.
• Incorporate best practices and respond to emerging trends to enhance operations, programs, and services.
• Implement and evaluate revenue integrity programs, develop effective tools to measure performance, analyze related data, prepare reports, and make recommendations to senior leadership.
• Direct, supervise, and evaluate the work of staff and managers, ensuring accountability for achieving plans and performance targets.
• Ensure appropriate staffing and coverage for revenue integrity functions, supporting staff development and professional growth.
• Build and support effective relationships with internal and external stakeholders and organizations, developing partnerships and resolving issues related to revenue integrity.
• Develop, implement, and ensure consistent application of organizational policies, procedures, and internal controls to safeguard assets and ensure compliance with laws and regulations.
• Develop and oversee the department budget, meet annual budgetary goals, negotiate contracts with external vendors, and manage expenditures.
• Communicate the department vision, translating it into actionable projects and activities, and maximize management staff’s contributions.
• Review, prepare, analyze, and present reports and recommendations to senior leadership regarding operations, programs, and services to aid in decision-making.
• Participate as a subject-matter expert and lead or facilitate task forces, teams, and councils to plan, implement, and coordinate programs and activities for the organization.
• Provide direct leadership accountability to ensure the continued financial stability of the organization and achievement of performance metrics.

WHAT YOU BRING

• Bachelor’s degree in healthcare administration, finance, business, or related field (Master’s preferred).
• Extensive experience in revenue integrity, charge capture, or healthcare revenue cycle management.
• Strong knowledge of regulatory requirements and compliance related to healthcare revenue cycle.
• Demonstrated leadership and staff management experience, with the ability to supervise, develop, and evaluate teams.
• Proven ability to develop, implement, and monitor revenue integrity programs and quality assurance functions.
• Experience with charge auditing and revenue recovery in acute and ambulatory service lines.
• Excellent analytical, reporting, and data interpretation skills, with the ability to prepare and present recommendations to senior leadership.
• Strong project coordination and change management abilities, including implementing regulatory changes and best practices.
• Effective communication and relationship-building skills with internal and external stakeholders, including the ability to negotiate and influence.
• Budget management and contract negotiation experience.
• Commitment to continuous quality improvement and operational excellence.

WHAT’S IN IT FOR YOU

• A flexible work environment
• Opportunities for professional growth and leadership development
• Health and life insurance
• Employee share options
• Supportive and collaborative team culture
• And more