Director of Revenue Integrity

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 15%

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Cancer Center of South Florida

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2016

🏥 Healthcare

Healthcare

Cancer Center of South Florida is a regional oncology practice (CCSF) partnered with Tampa General Hospital’s TGH Cancer Institute that provides specialized cancer care across Palm Beach County and the Tampa area. Established in 2008 and allied with TGH in 2020, CCSF operates infusion and clinic locations, offers medical and surgical oncology services, chemotherapy, immunotherapy, radiation, targeted and genetic therapies, nurse navigation, and access to clinical trials. The organization lists more than 60 physicians, advanced practice providers, nurses, navigators and pharmacy staff and highlights two Palm Beach County locations and one in Hillsborough (Tampa), plus a patient portal (MYCHART) for medical record access.

📋 Description

• Lead revenue integrity across the TGH Cancer Institute, including charge capture, reconciliation, and coding processes • Establish and oversee workflows to identify and resolve missing, incorrect, duplicate, or delayed charges before claims are submitted • Oversee coding quality and timeliness and partner with providers and clinical leaders to improve documentation supporting accurate, compliant billing • Analyze charge, coding, billing, and denial data; identify root causes and lead changes that prevent recurring errors and denials • Partner with Revenue Cycle, Clinical Operations, Patient Access, Compliance, IT, and Epic teams to define business requirements, test changes, and confirm workflow and system updates • Establish performance measures for charge capture, reconciliation, coding accuracy, clean claims, and preventable denials; report findings and recommended actions to leadership • Lead and develop assigned revenue integrity and coding staff, including setting expectations, evaluating performance, and addressing gaps • Ensure revenue integrity practices align with applicable billing regulations, payer requirements, and organizational policies

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Finance, Business, Health Information Management, or a related field • Minimum of 7 years of experience in revenue integrity with progressive experience in a complex healthcare system • A minimum of 3 years in a leadership role • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), or comparable certification • Knowledge of professional billing, coding, charge capture, and revenue cycle processes • Ability to analyze charge, billing, and denial data and identify the root causes of revenue leakage • Ability to lead initiatives involving access, clinical, operational, IT, and Revenue Cycle teams • Experience with Epic Resolute to include HB/PB billing workflows, charge router, charge reconciliation, charge review

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