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System Director – Revenue Integrity
Quorum Health. Develop and execute the health system’s enterprise Revenue Integrity strategy, operating model, and multi-year roadmap .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Enterprise Revenue Integrity leadership, charge capture governance, and compliance within healthcare systems. Proficient in developing performance frameworks, analytics, and strategies to enhance revenue cycle operations and mitigate revenue leakage.
Highest-signal resume keywords
Enterprise Revenue Integrity Leadership ExperienceCharge Capture GovernanceRevenue Cycle Systems ExpertiseAnalytics and Performance Management FrameworksEHR Implementation and Optimization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge CaptureRevenue AssuranceCPT and HCPCS AssignmentRevenue CodesBilling ConfigurationAudit ProgramsPerformance Management FrameworksRevenue Leakage PreventionCompliance KnowledgeClinical Revenue Cycle Integration
Soft Skills
LeadershipCollaborationStrategic AdvisingTeam DevelopmentCommunication
Tools & Technologies
EHR SystemsRevenue Cycle SystemsAutomated ChargingCharge RoutersExecutive Dashboards
Industry Keywords
Revenue IntegrityCompliance RiskHealthcare OperationsRegulatory RequirementsPayer Issues
About the role
Key responsibilities & impact- Develop and execute the health system’s enterprise Revenue Integrity strategy, operating model, and multi-year roadmap
- Establish standardized Revenue Integrity policies, procedures, controls, and governance across hospitals and business units
- Define accountability for charge capture, charge reconciliation, chargemaster maintenance, documentation, coding, and revenue-related operational processes
- Advise senior leadership on compliance risk, revenue opportunity, operational performance, and strategic priorities
- Lead development and maturation of the enterprise Revenue Integrity organizational structure
- Oversee charge capture across hospital, professional, ambulatory, procedural, diagnostic, pharmacy, supply, implant, and ancillary services
- Develop charge reconciliation and revenue leakage prevention processes
- Provide executive oversight of hospital chargemasters, professional fee schedules, charging dictionaries, and related reference files
- Develop and maintain enterprise CDM standards and formal change-management processes
- Lead enterprise Revenue Integrity audit and monitoring programs
- Identify and address missing charges, incorrect charges, coding discrepancies, documentation deficiencies, billing errors, payer issues, and reimbursement variances
- Monitor regulatory, coding, reimbursement, and commercial payer policy changes and operationalize required updates
- Integrate Revenue Integrity with Coding, Clinical Documentation Integrity, Billing, Denials, Contracting, and Compliance functions
- Partner with clinical and operational leaders to improve point-of-care charge capture
- Develop service-line-specific Revenue Integrity strategies for high-risk and high-value areas
- Provide Revenue Integrity leadership for EHR implementations, conversions, upgrades, and optimization initiatives
- Oversee charging workflow, charge router, automated charging, interface, preference list, order-to-charge, supply, pharmacy, and professional charge capture requirements
- Develop enterprise performance frameworks, dashboards, KPIs, departmental scorecards, and accountability mechanisms
- Track recovered revenue, prevented leakage, process improvements, and risk mitigation
- Recruit, develop, and retain Revenue Integrity leadership and technical teams
- Establish roles, competency standards, career pathways, succession planning, and education programs
Requirements
What you’ll need- Must reside in one of these states: Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming
- Enterprise Revenue Integrity leadership experience and expertise
- Knowledge of charge capture, chargemaster governance, revenue assurance, compliance, clinical revenue cycle integration, revenue leakage prevention, reimbursement compliance, and Revenue Integrity performance
- Experience partnering with Finance, Revenue Cycle, Clinical Operations, Coding/HIM, Compliance, Information Technology, Supply Chain, Pharmacy, and hospital leadership
- Knowledge of CPT and HCPCS assignment, revenue codes, modifiers, pricing, charge descriptions, charge logic, and billing configuration
- Knowledge of CMS, state, regulatory, AMA coding, and commercial payer requirements
- Experience with EHR and revenue cycle systems, charging workflows, charge routers, automated charging, interfaces, preference lists, order-to-charge logic, supply charging, pharmacy charging, and professional charge capture
- Experience developing analytics, executive dashboards, KPIs, scorecards, audit programs, corrective actions, and performance management frameworks
- Experience recruiting, developing, and retaining Revenue Integrity leadership and technical teams
Benefits
Comp & perks- Full-time remote work arrangement
- Professional development and relevant certification opportunities