System Director – Revenue Integrity

Job not on LinkedIn

🔥 7 minutes ago

🏄 California, Kentucky, +8 more states – Remote

🏄 California – Remote 🐎 Kentucky – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🦬 Wyoming – 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

Quorum Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2016

🏥 Healthcare

👥 B2C

Healthcare • B2C

Quorum Health is an operator of general acute care hospitals that owns or operates 12 hospitals across nine U. S. states. The company partners with local providers and subsidiaries to deliver inpatient and community-based healthcare services, focusing on quality, safety, and supporting local economies and workforce development. Quorum Health emphasizes community investment, hospital administration, and empowering local teams to provide patient-centered care.

📋 Description

• 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

• 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

• Full-time remote work arrangement • Professional development and relevant certification opportunities