Director, Transformation Services - Revenue Integrity

Job Purpose

The Director, Transformation Services – Revenue Integrity will be a part of our Revenue Cycle Transformation division, which plays a pivotal role in driving the financial success of our organization and our customers. The team is responsible for leading and implementing initiatives that enhance revenue cycle performance, optimize operational efficiency, and improve financial outcomes. The position demands a strong revenue cycle background and experience leading assessments and implementation initiatives within health systems and medical groups. You will perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows. In addition, you will improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generation. The Director, Transformation Services – Revenue Integrity should possess exceptional communication, critical thinking, and client relationship skills, along with a deep understanding of revenue cycle management and evolving payer requirements.

Duties and Responsibilities

• Lead and drive Revenue Integrity revenue cycle transformation initiatives to maximize efficiency and effectiveness of full end-to-end revenue cycle operations and services for clients
• Effectively manage project plans including meeting deadlines and manage on time deliverables
• Prepare comprehensive reports, presentations and documentation as required to monitor, evaluate, and communicate the effectiveness of Revenue Integrity initiatives
• Improve tracking tools and develop KPIs and metrics to identify and quantify quality and operational performance improvement opportunities
• Act as a Revenue Integrity subject matter expert addressing inquiries from clients and team members
• Collaborate with colleagues and client counterparts to understand business challenges, adapt implementation methodologies, and approaches to ensure results align with dep