Sr. Director of Revenue Integrity

Details

• Department: Revenue Cycle
• Schedule: Full-Time, Monday-Friday
• Location: Remote
  
  

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.

Responsibilities

Senior Director of Revenue Integrity is responsible for overseeing revenue cycle processes to ensure compliance, accuracy, and maximization of revenue for the organization. This leadership role involves developing and implementing strategies to enhance revenue integrity, reduce leakage, and ensure adherence to regulatory requirements. The Senior Director collaborates with key stakeholders across finance, operations, compliance, and clinical teams to optimize revenue capture, billing, and reimbursement processes.

• Develop and lead revenue integrity strategies to optimize revenue capture and minimize financial risk.
• Oversee charge capture, coding compliance, documentation integrity, and reimbursement methodologies.
• Collaborate with finance, billing, and clinical departments to ensure accurate charge description master (CDM) maintenance and updates.
• Implement best practices for revenue cycle management, including audits and process improvements.
• Monitor and analyze revenue trends, denials, and payer reimbursement policies to mitigate financial risks.
• Ensure compliance with federal, state, and payer regulations, including Medicare and Medicaid guidelines.
• Lead a team of revenue integrity specialists and analysts, providing mentorship and professional development.
• Partner with IT and data analytics teams to enhance revenue cycle reporting and technology utilization.
• Drive initiatives to reduce revenue leakage and improve the accuracy of coding and billing processes.
• Serve as a subject matter expert on revenue integrity-related regulations and industry changes
  
  

Requirements

Education:

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.
  
  

Additional Preferences

• Bachelor's degree in Finance, Business Administration, Healthcare Administration, or a related field (Master's preferred).
• Minimum of 8-10 years of experience in revenue integrity, revenue cycle management, or healthcare finance.
• Proven leadership experience in a healthcare setting, preferably within hospitals or large medical groups.
• In-depth knowledge of medical coding (ICD-10, CPT, HCPCS), billing regulations, and payer reimbursement policies.
• Strong analytical skills and the ability to interpret complex financial data and regulatory guidelines.
• Experience with revenue cycle management systems (e.g., Epic, Cerner, Meditech) is highly preferred.
• Excellent communication, problem-solving, and organizational skills.
  
  

#InternalOps

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

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