System Director Revenue Integrity - Fort Myers, Florida, , United States
1 day ago
Job description
Summary
Aligned Solutions is seeking a System Director of Revenue Integrity for a well respected company . A large, complex healthcare system in Southwest Florida is seeking a System Director of Revenue Integrity to provide enterprise-wide leadership in financial performance optimization, charge capture accuracy, and regulatory compliance across all service lines.
Reporting to the Vice President of Revenue Cycle, this senior leader will be responsible for designing and executing strategies that ensure compliant, accurate, and sustainable revenue integrity operations. This role partners closely with executive leadership, finance, information systems, compliance, legal services, and clinical stakeholders to support organizational financial objectives while maintaining a patient-centered financial experience.
Key Responsibilities
Enterprise Leadership & Strategy
Develop and execute system-wide strategies to drive high-performing revenue integrity operations across inpatient, outpatient, emergency, professional, and ancillary services.
Partner with executive finance leadership to establish and achieve organizational goals related to cash collections, accounts receivable, denial reduction, and overall revenue cycle performance.
Revenue Integrity Operations
Provide oversight of the full revenue integrity lifecycle, including charge development, charge maintenance, coding accuracy, modifier usage, pre-billing validation, and payer compliance.
Ensure adherence to Medicare, Medicaid, and commercial payer regulations through strong policies, monitoring, and corrective action processes.
Charge Capture, Pricing & Contract Management
Lead enterprise charge capture initiatives to improve accuracy, transparency, and net revenue performance.
Oversee chargemaster pricing strategies and payer contract interpretation to ensure compliance and timely resolution of discrepancies.
Analyze financial and operational data to identify trends, forecast risk, and recommend solutions that strengthen revenue outcomes.
Collaboration & Stakeholder Engagement
Build strong partnerships with Patient Access, Information Systems, Compliance, Legal, and service line leaders to ensure alignment and operational excellence.
Communicate complex regulatory and revenue cycle concepts in a clear, practical manner to staff, leadership, and patients.
Promote a culture of financial transparency and compassionate communication regarding healthcare costs.
Leadership, Culture & Performance Improvement
Recruit, develop, and lead a high-performing team of directors, managers, and supervisors.
Continuously evaluate department performance and implement quality improvement initiatives that enhance accuracy, efficiency, and compliance.
Model strong leadership behaviors, professionalism, and a commitment to service excellence.
Financial Oversight & Budget Management
Collaborate with the Vice President of Revenue Cycle to develop and manage operating and capital budgets.
Ensure responsible stewardship of organizational resources while supporting long-term financial sustainability.
Qualifications
Education
Bachelor's degree in Business Administration or a related field required.
Master's degree in Healthcare Administration, Business, Accounting, Finance, or a related discipline preferred.
Experience
Minimum of eight (8) years of progressive management experience within a large, multi-campus healthcare system.
Deep expertise in healthcare finance, charge capture, reimbursement methodologies, contract pricing, regulatory compliance, and revenue cycle operations.
Experience with Epic Revenue Cycle modules strongly preferred.
Certifications
Professional coding certification (AAPC or AHIMA), such as CPC, CCS, CPMA, or equivalent, preferred.
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