Director-Revenue Integrity

The Director of Revenue Integrity is responsible for ensuring the organization accurately captures, charges, bills, and receives reimbursement for all services provided in a manner that is compliant with federal, state, payer, and regulatory requirements. This role serves as the primary leader for revenue integrity activities across Kingman Regional Medical Center, overseeing processes that ensure patients are billed only for services rendered, charges are supported by clinical documentation, and reimbursement is accurate and compliant with CMS and other payer regulations.

What You Will Do

Provides leadership, direction, and oversight for the organization's Revenue Integrity program, ensuring accurate charge capture, compliant billing practices, and appropriate reimbursement for all hospital and professional services. Develops and implements revenue integrity auditing programs, including charge capture reviews, regulatory compliance audits, billing validation audits, and targeted departmental assessments.

Why It Might Be a Fit

The Director of Revenue Integrity acts as a key advisor to executive leadership on revenue optimization opportunities, reimbursement risks, regulatory changes, and compliance initiatives that impact the organization's financial performance. This role requires strong leadership, communication, project management, and relationship-building skills with the ability to influence organizational change across multiple departments.

Requirements

• Bachelor's degree in Healthcare Administration, Finance, Accounting, Business Administration, Health Information Management, or a related field required.
• Minimum of seven (7) years of progressively responsible healthcare revenue cycle experience, including charge capture, revenue integrity, reimbursement, billing compliance, denial management, coding, or patient financial services.
• Minimum of three (3) years of leadership experience managing revenue cycle, revenue integrity, reimbursement, or related healthcare financial operations.
• Demonstrated experience with Charge Description Master (CDM) management, charge capture processes, revenue integrity auditing, and revenue cycle compliance.

Benefits

• Healthcare benefits
• Retirement plan
• Paid time off
• Other benefits (not specified)