Director, Transformation Services – Revenue Integrity

🔥 6 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients • Manage project plans, deadlines, and on-time deliverables • Prepare reports, presentations, and documentation to monitor and communicate initiative effectiveness • Improve tracking tools and develop KPIs and metrics to identify operational performance improvement opportunities • Serve as a Revenue Integrity subject matter expert for clients and team members • Collaborate with colleagues and client counterparts to address business challenges and adapt implementation methodologies • Monitor analytics and report trends in denials and procedural problems • Develop scalable transition plans to sustain improvements • Assist in developing and improving revenue cycle assessment and implementation methodologies • Evaluate current-state operations and create transition blueprints toward the desired future state • Establish measurable goals and priorities aligned with organizational objectives • Perform audits, consolidations, and standardizations of Charge Data Masters and Revenue Integrity workflows • Improve charge capture accuracy through workflow assessments, coding reviews, process improvements, and report generation • Use, protect, and disclose patients' protected health information in accordance with HIPAA • Comply with Information Security and HIPAA policies and procedures • Limit viewing of protected health information to the minimum necessary

🎯 Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred • 7+ years of proven experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing • 7+ years of healthcare consulting experience • Proven success leading large-scale Revenue Integrity strategic development and implementations • Full understanding of charge capture and charge reconciliation processes, including electronic health record charge links to the CDM and charge capture processes • Professional certifications such as CPAM or CRCP, or demonstrated progress toward such certifications, a plus • Advanced Excel proficiency and experience in financial modeling and analysis • Advanced Microsoft PowerPoint and Word skills • Experience with SQL, SPSS, Power BI, benchmarking, and MGMA survey data a plus • Project leadership and workplan management experience for opportunity assessments within a consulting firm setting, focused on middle revenue cycle areas • Knowledge of state and federal governmental, legal, and regulatory provisions related to middle revenue cycle operations • Exceptional communication and interpersonal skills • Strong analytical and problem-solving abilities with a data-driven approach • Ability to adapt to a fast-paced, changing environment and manage multiple priorities and deadlines • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

🏖️ Benefits

• Occasional travel and flexibility to work outside of normal business hours as needed • Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes