Director Revenue Integrity

Texas Health Resources, Inc.; Arlington (TX); Hybrid; USD 170,000 - 230,000; Full time

Job summary

Texas Health Resources, Inc. is seeking a Director of Revenue Integrity to provide strategic and operational leadership for charge capture governance, audits, and compliance across the enterprise.

The role oversees analytics, reconciliation, and performance improvement activities to prevent revenue leakage and ensure accurate revenue recognition. The position partners with executive leadership, clinical departments, finance, compliance, and IT to standardize processes, drive continuous

Responsibilities

• Lead Revenue Integrity governance and strategy across the organization
• Oversee charge capture operations, audits, and analytics
• Direct remediation plans, education, and workflow changes from audit findings
• Ensure CMS/regulatory compliance and risk management in revenue processes
• Partner with executive leaders across finance, coding, IT, and patient care to optimize revenue

Job description

Director Revenue Integrity

Position Highlights

The Director of Revenue Integrity provides strategic, operational, and organizational leadership for enterprise-wide charge capture governance, charge reconciliation, audit escalation strategy, charge compliance, clinical documentation improvement initiatives related to charging accuracy, revenue leakage prevention, denials prevention, regulatory compliance, and revenue integrity optimization.

The Director leads managers and teams responsible for charge capture operations, charge audits, revenue integrity analytics, charge reconciliation, charge compliance, education, and performance improvement activities. The role establishes enterprise standards, develops long-term strategies, oversees organizational performance, and partners with executive leadership, clinical departments, finance, compliance, IT, coding, billing, and revenue cycle leaders to ensure accurate, compliant, and efficient revenue recognition across the organization. The role is accountable for establishing a culture of operational excellence, standardization, accountability, and continuous improvement while ensuring alignment with organizational financial, compliance, and strategic priorities.

• Work location: Texas Health Resources-Remote work is available for local candidates within the Dallas/Fort Worth area
• Work hours: Full Time, Monday – Friday, 08:00 AM – 5:00 PM

Key Responsibilities

Revenue Integrity Strategy & Governance

• . Serve as Revenue Integrity subject matter expert and strategic advisor for the organization
• . Lead stakeholder engagement, change management, communication, and governance activities related to revenue integrity initiatives
• . Establish and execute the organization's Revenue Integrity strategy, governance framework, and operating model
• . Establish enterprise standards for charge capture workflows, charge audit methodology, charge reconciliation, documentation requirements, and education practices
• . Ensure alignment of Revenue Integrity objectives with organizational financial, operational, regulatory, and strategic priorities

Operational Leadership & Performance

• . Monitor departmental performance through dashboards, scorecards, service level agreements, and key performance indicators
• . Ensure timely resolution of enterprise charge capture issues, billing barriers, reconciliation variances, and audit findings
• . Oversee performance management, workforce planning, succession planning, and leadership development activities
• . Lead prioritization of enterprise projects, operational initiatives, and resource deployment
• . Foster a high-performing culture focused on accountability, collaboration, innovation, and customer service

Compliance, Audit, and Risk Management

• . Lead and oversee analysis of charge capture trends, recurring errors, compliance risks, revenue leakage opportunities, documentation gaps, and operational issues impacting revenue integrity performance
• Direct retrospective, concurrent, targeted, complex, high-risk, and payer-sensitive audits to evaluate charge accuracy, documentation support, and compliance with charging rules, payer requirements, and regulatory standards
• . Ensure audit findings are documented, tracked, reported, and translated into remediation plans, education, workflow changes, or escalation pathways as appropriate
• . Oversee root cause analysis for moderately complex, recurring, systemic, cross-functional, or high-risk charge capture and documentation issues
• . Ensure compliance with CMS regulations, payer requirements, organizational policies, and industry standards
• . Direct identification, escalation, remediation, and monitoring of compliance risks, audit findings, revenue leakage opportunities, and billing vulnerabilities

Revenue Optimization & System Improvement

• . Drive organizational efforts to improve revenue capture, reduce revenue leakage, and strengthen financial performance
• . Establish enterprise performance monitoring related to charge accuracy, reconciliation outcomes, denials prevention, audit findings, financial recovery, and billing readiness
• . Evaluate financial impact of operational issues and prioritize initiatives based on organizational risk and return
• . Develop executive-level reporting and business cases to support investment decisions and operational improvements
• . Lead initiatives that improve net revenue realization through enhanced charge capture accuracy, documentation support, and process standardization
• . Lead enterprise process improvement initiatives to improve efficiency, consistency, compliance, and scalability
• . Partner with cross-functional teams to optimize system configuration, automation opportunities, work queues, edits, and reporting capabilities
• Lead large-scale operational transformation initiatives impacting revenue integrity and revenue cycle performance
• . Ensure consistent implementation of best practices across hospitals, outpatient departments, physician practices, and ambulatory clinics, and service lines
• . Promote data-driven decision making and continuous process improvement throughout the organization