Director of Revenue Integrity

B.E. Smith; Brunswick (GA); Presencial; USD 140 000 - 200 000; Tempo integral

Resumo da oferta

Southeast Georgia Health System in Brunswick, Georgia, seeks a Director of Revenue Integrity to provide strategic and operational leadership for the development and advancement of revenue integrity across the system.

Reporting to the Vice President of Revenue Cycle, this leader will oversee two direct reports, strengthen charge reconciliation and charge capture, oversee CDM governance, reduce revenue leakage and denials, and collaborate across departments to optimize reimbursement and payer

Qualificações

• Bachelor’s degree in Finance, Healthcare Administration, Business, or related field.
• 8+ years of progressive revenue integrity or healthcare finance experience with CDM, charge capture, coding, billing and payer rules.
• Experience leading cross-functional teams; Cerner, Epic, Meditech experience preferred.

Responsabilidades

• Lead strategic and operational revenue integrity initiatives.
• Strengthen charge reconciliation and charge capture processes.
• Oversee CDM governance and payer rule compliance.
• Collaborate with departments to reduce leakage and denials.

Conhecimentos

Charge capture

CDM governance

Coding & billing

Reimbursement rules

Cross-functional leadership

Formação académica

Bachelor’s degree in Finance/Healthcare Admin

Ferramentas

Cerner

Epic

Meditech

Descrição da oferta de emprego

Build and advance a high-impact revenue integrity function while driving financial performance at Southeast Georgia Health System in beautiful coastal Brunswick, Georgia!

The Position

• The Director of Revenue Integrity is responsible for providing strategic and operational leadership for the development and advancement of revenue integrity across Southeast Georgia Health System.
• Reporting to the Vice President of Revenue Cycle, this leader will oversee two direct reports.
• Key responsibilities include strengthening charge reconciliation and charge capture processes, overseeing Charge Description Master (CDM) governance, reducing revenue leakage and preventable denials, and serving as a trusted resource to departments across the organization on revenue integrity opportunities and challenges.
• The ideal candidate will be a high-energy, hands-on leader with strong emotional intelligence and deep revenue integrity subject matter expertise. This individual should be collaborative, approachable, and skilled at building relationships across departments while bringing the experience and fresh perspective needed to develop a growing function.

Requirements

• Bachelor’s degree in Finance, Healthcare Administration, Business, or a related field required.
• A minimum of eight years of progressive revenue integrity, revenue cycle, or healthcare finance experience is required, with expertise in CDM, charge capture, coding, billing, reimbursement, and payer rules.
• Experience leading cross-functional initiatives and teams required; experience with Cerner, Epic, Meditech, or a similar EHR and relevant professional certification preferred.

The Community

• Brunswick, Georgia, is a historic coastal city located in the heart of Georgia’s Golden Isles, conveniently situated between Savannah, Georgia, and Jacksonville, Florida.
• Known for its picturesque waterfront, historic architecture, moss-draped oaks, and expansive coastal marshes, Brunswick offers the charm and relaxed lifestyle of a coastal community with convenient access to a variety of cultural and recreational amenities.
• Residents enjoy year-round outdoor activities, including boating, kayaking, fishing, biking, and exploring the area’s waterfront parks and scenic natural landscapes.
• Brunswick’s vibrant downtown features locally owned restaurants and shops, arts and cultural attractions, community events, and historic neighborhoods, while the surrounding Golden Isles provide easy access to some of Georgia’s most celebrated coastal destinations.
• With its mild climate, natural beauty, rich history, and proximity to both Savannah and Jacksonville, Brunswick offers an appealing coastal lifestyle for professionals and families alike.

The Organization

• Southeast Georgia Health System is a not-for-profit health care system headquartered in Brunswick, Georgia, serving residents and visitors throughout the Golden Isles and surrounding Southeast Georgia communities.
• With a history dating back to 1888, the Health System provides comprehensive health care services across its Brunswick and Camden campuses, physician practices, outpatient locations, and other care settings throughout the region.
• The Brunswick Campus is anchored by a 300-bed acute care hospital with more than 300 physicians on its medical staff representing nearly every major medical specialty. The campus serves as a regional medical center for Southeast Georgia and offers a broad range of advanced specialty services, including cancer care, cardiovascular care, orthopedics and spine, robotic surgery, neurosurgery, maternity care, and emergency services.
• The Health System also operates a 40-bed acute care hospital in St. Marys, Georgia, providing emergency, medical-surgical, critical care, maternity, cancer, orthopedic, and other services to communities throughout the Camden County area.
• Guided by its mission to advance the health and well-being of the community, Southeast Georgia Health System is committed to compassionate, high-quality care and fostering a culture centered on compassion, excellence, ownership, integrity, and teamwork.