The Director of Revenue Integrity provides leadership to ensure accurate, compliant, and optimized revenue capture across inpatient, outpatient, professional (faculty practice), and research-related healthcare services. Responsible for preventing revenue leakage and compliance risks through standardized charge capture, pricing governance, Charge Description Master (CDM) management, revenue reconciliation, and analytics. Acts as liaison between Revenue Cycle, clinical departments, and the School of Medicine.
Collaborates with various departments including Revenue Cycle, School of Medicine leaders, physicians, Advanced Practice Providers, Coding, Compliance, Patient Financial Services, Finance, Managed Care Contracting, and Technology teams to maintain transparent, auditable, and aligned charging and billing processes.
Key duties include overseeing enterprise CDM governance, establishing revenue cycle reporting, maintaining CDM accuracy, resolving payer denials related to charge master, fostering partnerships to ensure charge capture and compliance, educating departments and physicians on charge master and charging philosophy, monitoring regulatory updates, and leading process improvement initiatives related to charge accuracy and revenue integrity.
Participates in technology committees for revenue cycle enhancements, manages external vendors for CDM services, develops executive revenue dashboard reporting, and supports audit readiness.
Requires a Bachelor's degree in business administration, healthcare administration or related field, plus 7 years of progressively responsible experience including leadership in revenue integrity, CDM management, charge capture, or healthcare finance.
Certifications upon hire required: one of CHRI, CPC, CCS, RHIT, or RHIA.
Stanford Health Care promotes diversity, offers a supportive work culture, and values exceptional patient experience.
- Bachelor's degree in business administration, healthcare administration, or related field.
- Minimum 7 years of progressively responsible and directly related experience.
- Proven leadership in revenue integrity, CDM management, charge capture, or healthcare finance.
- Experience managing teams and complex cross-functional initiatives.
- Strong knowledge of healthcare reimbursement, revenue cycle workflows, CMS regulations, medical terminology, UB-04 and CMS-1500 claim forms.
- Knowledge of hospital billing, service item master, and regulatory requirements.
- Ability to conduct and interpret financial and operational analyses.
- Strong organizational, multitasking, leadership, and problem-solving skills.
- Certification required upon hire: Certified Healthcare Revenue Integrity (CHRI) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
- Membership in HFMA, NAHRI, or AHIMA preferred.
- Competitive pay including hourly wages ranging approximately $83.98 to $111.27.
- Remote work opportunity.
- Inclusive and diverse work environment.
- Supportive hospital culture emphasizing exceptional patient and family experience.
- Opportunities to be part of a leading healthcare institution committed to innovation and patient care excellence.
Location
Sacramento, California, US
Employment Type
Full-time
Experience Level
Director
Salary Range
$174,598 - $231,587
Remote work allowed
Yes
Posted
1 month ago