Assistant Director, Revenue Integrity (Salaried, Full-time)

Washington Regional Medical System; Fayetteville (AR); On-site; USD 110,000 - 150,000; Full time

Job summary

Washington Regional Medical System in Fayetteville, AR seeks an Assistant Director, Revenue Integrity, to lead system-wide charge capture, pricing, and reimbursement governance across hospitals and clinics. You will partner with finance, coding, compliance, and operations to optimize revenue integrity and reduce leakage.

The role requires a Bachelor’s in a related field, 5+ years in revenue cycle with leadership experience, and credentials such as RHIA/RHIT or CCS/CPC preferred.

Qualifications

• Bachelor’s degree required; Master’s degree preferred.
• RHIA/RHIT/CCS/CPC/CPMA/CRCR or related credential preferred.
• 5+ years in revenue integrity, hospital or professional billing, coding, charge capture, chargemaster management, reimbursement, auditing, or related revenue cycle function; 2+ years supervision.
• Strong knowledge of CPT, HCPCS, ICD-10-CM/PCS, revenue codes, modifiers, payer requirements, Medicare and Medicaid regulations.

Responsibilities

• Provide system-level leadership for revenue integrity operations across hospitals, ambulatory clinics, physician practices, and other entities; establish priorities, standards, and performance expectations.
• Lead and develop revenue integrity leaders and team members; oversee staffing, productivity, and performance.
• Oversee chargemaster and fee-schedule governance for hospital and professional services; maintain codes, prices, descriptions, and effective dates.
• Collaborate with clinical and operational departments to ensure accurate charges and compliant documentation and billing practices.
• Monitor regulatory, payer, coding, reimbursement, and industry changes; coordinate timely updates to systems, processes, and policies.
• Manage claim edits, work queues, charge-related holds, and revenue integrity exceptions to promote clean claims.
• Develop and execute a risk-based audit and monitoring program for charge capture, coding alignment, and billing practices; drive corrective actions.
• Analyze revenue performance, denial trends, and reimbursement opportunities; report findings to leadership.

Skills

Analytical skills

Auditing

Project management

Communication

Problem solving

Team leadership

Education

Bachelor’s degree in health information management, health care administration, business, finance, nursing, or related field

Master’s degree preferred

Tools

Epic

Job description

Job Details

• Job Location: Fayetteville, AR 72703
• Position Type: Full Time
• Education Level: 4 Year Degree
• Job Shift: Days
• Job Category: Business Services/Revenue Cycle Management
• Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for six consecutive years by U.S. News & World Report. We employ 3,200+ team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The Assistant Director, Revenue Integrity provides system-level leadership for the healthcare system’s revenue integrity program and reports to the Director, Central Billing Office, working in direct partnership with the Vice President, Revenue Cycle. This position is accountable for the accurate, compliant, and timely capture of hospital and professional revenue across hospitals, ambulatory clinics, physician practices, and other system entities, including chargemaster governance, charge reconciliation, pricing administration, claim-edit resolution, and revenue integrity audits. The Assistant Director partners with clinical, operational, finance, coding, compliance, information services, managed care, and revenue cycle leaders to align practices across the system, identify revenue leakage, strengthen controls, implement regulatory and reimbursement changes, and improve financial and operational performance. The position provides leadership to revenue integrity operations, establishes system-wide standards and performance expectations, and promotes accountability, service excellence, and continuous improvement.

Essential Position Responsibilities

• Provide system-level leadership for revenue integrity operations across hospitals, ambulatory clinics, physician practices, and other healthcare system entities; establish priorities, service standards, and performance expectations, and ensure timely resolution of issues affecting charge capture, billing, reimbursement, and compliance.
• Lead, develop, and support revenue integrity leaders and team members; oversee staffing, productivity, competency, succession planning, and performance in alignment with healthcare system policies and leadership expectations.
• Direct system-wide chargemaster and fee-schedule governance for hospital and professional services, including code, price, description, revenue-code, and effective-date maintenance; promote consistent standards and controls across all entities.
• Partner with clinical and operational departments to establish accurate charges, validate charging workflows, address missed or late charges, and support compliant documentation and billing practices.
• Monitor regulatory, payer, coding, reimbursement, and industry changes; assess operational impact and coordinate timely updates to systems, processes, education, policies, and controls.
• Oversee claim edits, work queues, charge-related holds, and other revenue integrity exceptions to promote clean claims, timely billing, and appropriate reimbursement.
• Develop and execute a risk-based audit and monitoring program for charge capture, coding alignment, pricing, modifiers, documentation, and billing practices; communicate findings and oversee corrective action plans.
• Analyze revenue performance, denial trends, charging variances, and reimbursement opportunities; prepare clear reports and recommendations for the Director, Central Billing Office, Vice President, Revenue Cycle, and operational leaders.
• Coordinate enterprise revenue integrity strategy and initiatives with Patient Access, Health Information Management, Coding, Billing, Finance, Compliance, Information Services, Managed Care, clinical leadership, and other system stakeholders to support consistent and sustainable practices.
• Support system implementations, upgrades, testing, and optimization affecting charge capture, claim edits, reimbursement, and revenue integrity workflows.
• Maintain current policies, procedures, documentation, and internal controls; provide education and technical guidance to team members and operational partners.
• Promote continuous improvement by standardizing workflows, measuring outcomes, and implementing sustainable solutions that support compliance, efficiency, patient experience, and financial stewardship.
• Perform other duties as assigned to support organizational and revenue cycle priorities.

Qualifications

• Education: Bachelor’s degree in health information management, health care administration, business, finance, nursing, or a related field, required. Equivalent relevant education and progressively responsible experience may be considered. Master’s degree preferred.
• Licensure and Certifications: Current RHIA, RHIT, CCS, CPC, CPMA, CRCR, CHRI, or another relevant revenue cycle, coding, auditing, or health information credential preferred. A role-specific credential may be required based on the selected candidate’s professional discipline.
• Experience: Five years of progressively responsible experience in revenue integrity, hospital or professional billing, coding, charge capture, chargemaster management, reimbursement, auditing, or a related revenue cycle function, required. Two years of supervisory or leadership experience, required. Experience within an acute care hospital and multi-site or health-system environment preferred.
• Knowledge and Skills: Demonstrated knowledge of CPT, HCPCS, ICD-10-CM/PCS, revenue codes, modifiers, payer requirements, Medicare and Medicaid regulations, charge capture, reimbursement methodologies, and revenue cycle controls. Strong analytical, audit, project management, communication, problem-solving, and team leadership skills are required. Proficiency with electronic health record and patient accounting systems, reporting tools, and Microsoft Office applications is required; Epic experience preferred.

Work Environment:This position will spend 90% of time sitting while performing work in a standard office environment and 10% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.

Notice: This job description is designed to provide an overview of the essential and principal duties and responsibilities of the position. The job description is not designed or intended to cover or set forth a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Washington Regional reserves the right in its absolute discretion to change duties, responsibilities or activities or assign new duties, responsibilities, or activities at any time with or without notice. Employees may be directed to perform job-related tasks other than those specifically presented in this description.