Director, Transformation Services – Revenue Integrity

Jobtailor; Deutschland; Remote; EUR 90.000 - 140.000; Vollzeit

Zusammenfassung

Jobtailor in Germany seeks a senior Revenue Integrity consultant to lead transformation initiatives across the revenue cycle, driving measurable improvements and KPI development. You will manage project plans, prepare reports, collaborate with client teams, and ensure HIPAA compliance while modeling financial impacts with Excel and Power BI.

Strong healthcare consulting and charge capture expertise are essential.

Qualifikationen

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field preferred.
• 7+ years of healthcare operations experience in revenue integrity, coding, finance, or revenue cycle management.
• 7+ years of healthcare consulting experience.
• Proven success leading large-scale Revenue Integrity strategy development and implementations.
• Understanding of charge capture and CDM-related processes including EHR charge links.
• Advanced Excel proficiency and experience in financial modeling.
• Experience with SQL, SPSS, Power BI, benchmarking, MGMA data a plus.

Aufgaben

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients.
• Manage project plans, deadlines, and on-time deliverables.
• Prepare reports, presentations, and documentation to monitor initiative effectiveness.
• Improve tracking tools and develop KPIs and metrics to identify opportunities.
• Serve as a Revenue Integrity subject matter expert for clients and team members.
• Collaborate with colleagues and client counterparts to address business challenges.
• Monitor analytics and report trends in denials and procedural problems.
• Develop scalable transition plans to sustain improvements.
• Assist in developing and improving revenue cycle assessment methodologies.
• Evaluate current operations and create transition blueprints toward the future state.
• Establish measurable goals aligned with organizational objectives.
• Perform audits, consolidations, and standardizations of CDM and RI workflows.
• Improve charge capture accuracy through workflow assessments and reviews.
• Ensure HIPAA privacy and security compliance.

Kenntnisse

Revenue Integrity

Data Analysis

KPI Development

Project Leadership

Financial Modeling

Advanced Excel

Power BI

SQL

Charge Capture

Charge Reconciliation

Audit & Consolidation

Transition Planning

HIPAA Compliance

Communication

Problem-Solving

Ausbildung

Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field

Tools

SQL

SPSS

Power BI

Microsoft Excel

Microsoft PowerPoint

Charge Data Master

Electronic Health Record

Jobbeschreibung

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients


• Manage project plans, deadlines, and on-time deliverables


• Prepare reports, presentations, and documentation to monitor and communicate initiative effectiveness


• Improve tracking tools and develop KPIs and metrics to identify operational performance improvement opportunities


• Serve as a Revenue Integrity subject matter expert for clients and team members


• Collaborate with colleagues and client counterparts to address business challenges and adapt implementation methodologies


• Monitor analytics and report trends in denials and procedural problems


• Develop scalable transition plans to sustain improvements


• Assist in developing and improving revenue cycle assessment and implementation methodologies


• Evaluate current‑state operations and create transition blueprints toward the desired future state


• Establish measurable goals and priorities aligned with organizational objectives


• Perform audits, consolidations, and standardizations of Charge Data Masters and Revenue Integrity workflows


• Improve charge capture accuracy through workflow assessments, coding reviews, process improvements, and report generation


• Use, protect, and disclose patients' protected health information in accordance with HIPAA


• Comply with Information Security and HIPAA policies and procedures


• Limit viewing of protected health information to the minimum necessary

Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred


• 7+ years of proven experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing


• 7+ years of healthcare consulting experience


• Proven success leading large-scale Revenue Integrity strategic development and implementations


• Full understanding of charge capture and charge reconciliation processes, including electronic health record charge links to the CDM and charge capture processes


• Professional certifications such as CPAM or CRCP, or demonstrated progress toward such certifications, a plus


• Advanced Excel proficiency and experience in financial modeling and analysis


• Advanced Microsoft PowerPoint and Word skills


• Experience with SQL, SPSS, Power BI, benchmarking, and MGMA survey data a plus


• Project leadership and workplan management experience for opportunity assessments within a consulting firm setting, focused on middle revenue cycle areas


• Knowledge of state and federal governmental, legal, and regulatory provisions related to middle revenue cycle operations


• Exceptional communication and interpersonal skills


• Strong analytical and problem-solving abilities with a data-driven approach


• Ability to adapt to a fast‑paced, changing environment and manage multiple priorities and deadlines


• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

Core Competencies

Demonstrates expertise in Revenue Integrity and healthcare operations, with a strong focus on charge capture processes, revenue cycle management, and compliance with HIPAA regulations. Proven ability to lead transformation initiatives, develop KPIs, and implement effective project management strategies.

Highest-signal resume keywords

• Revenue Cycle Management


• Charge Capture Processes


• Healthcare Consulting Experience


• Advanced Excel Proficiency


• Project Leadership

ATS Optimization Keywords

Hard Skills

• Revenue Integrity


• Financial Modeling


• Data Analysis


• Charge Reconciliation


• Workflow Assessment


• Coding Review


• KPI Development


• Operational Performance Improvement


• Audit and Consolidation


• Transition Planning

Soft Skills

• Exceptional Communication


• Interpersonal Skills


• Analytical Abilities


• Problem-Solving


• Adaptability

Certifications & Qualifications

• CPAM


• CRCP

Industry Keywords

• Healthcare Operations


• Revenue Integrity


• Patient Accounting


• Physician Billing


• Middle Revenue Cycle


• HIPAA Compliance


• Regulatory Provisions

Tools & Technologies

• SQL


• SPSS


• Power BI


• Microsoft Excel


• Microsoft PowerPoint


• Charge Data Master


• Electronic Health Record