Develop and lead the organization’s revenue integrity strategy across all service lines
Identify and reduce revenue leakage through audits, analytics, and process improvement
Monitor key performance indicators (KPIs) related to charge capture, denials, and reimbursement
Collaborate with finance, compliance, coding, and clinical departments to ensure accurate revenue cycle processes
Oversee the maintenance, accuracy, and compliance of the hospital chargemaster
Ensure CDM alignment with coding updates (CPT, HCPCS, ICD-10) and payer requirements
Lead regular CDM reviews and updates to reflect regulatory and operational changes
Ensure adherence to regulations from Centers for Medicare & Medicaid Services (CMS), Office of Inspector General (OIG), and other governing bodies
Lead internal and external audit responses related to billing and revenue integrity
Work closely with clinical & coding teams to ensure accurate documentation and code assignment
Improve charge capture processes across inpatient, outpatient, and procedural areas
Lead and mentor revenue integrity and CDM teams

Bachelor’s degree in Healthcare Administration, Finance, Business, or related field (Master’s preferred)
7–10+ years of experience in healthcare revenue cycle, with focus on revenue integrity or CDM
3–5+ years of leadership or management experience
Strong knowledge of chargemaster management, billing compliance, and reimbursement methodologies
In-depth understanding of CPT, HCPCS, and ICD-10 coding systems
Experience with hospital and/or health system operations

Interim Revenue Integrity Director

Key skills