Director, Revenue Integrity

UF Health; Gainesville (FL); On-site; USD 180,000 - 240,000; Full time

Job summary

UF Health in Gainesville seeks a Director of Revenue Integrity to lead enterprise charge capture, revenue integrity edits, chargemaster management, and revenue reconciliation across facilities.

This role partners with clinical operations, Finance, Compliance, IT, Coding, Billing, Follow-Up, and RCM Business Support to implement standardized policies, governance, and dashboards that protect net revenue and reduce leakage.

Qualifications

• Minimum of 7 to 10 years of progressive leadership experience in healthcare revenue cycle.
• Experience leading Revenue Integrity operations, charge capture programs, and Chargemaster management.
• Strong executive communication and stakeholder engagement skills.
• Demonstrated accountability through KPIs and governance frameworks.
• Knowledge of reimbursement methodologies and charge structure impacts.

Responsibilities

• Provide enterprise-wide leadership over charge capture, revenue integrity edits, and CDM operations.
• Establish standardized policies, decision rights, and internal controls.
• Partner with clinical departments, Finance, Compliance, IT, Coding, Billing, Follow-Up, and RCM Business Support to strengthen governance.
• Deliver measurable net revenue protection and enterprise standardization.

Education

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

Master’s degree (e.g., MHA, MBA) preferred

Tools

EHR charge build tools

CDM management

Reconciliation analytics

Pricing repositories

Variance analytics

Job description

Overview

The Director of Revenue Integrity provides enterprise-wide leadership over charge capture, revenue integrity edit operations, chargemaster (CDM) operations, and charge/revenue reconciliation across all facilities and service lines. This leader is accountable for establishing standardized policies, decision rights, and internal controls that reduce variation, prevent revenue leakage, and maintain audit-ready compliance through disciplined build/change management, proactive monitoring, and closed-loop issue resolution. The Director partners withclinical departments, Finance, Compliance, Information Technology (IT), Coding, Billing, Follow-Up, and RCM Business Support to strengthen governance, reporting, and execution — delivering measurable net revenue protection and enterprise standardization.

Qualifications

Education: Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field required.

Master’s degree (e.g., MHA, MBA) preferred.

• Experience: Minimum of 7 to 10 years of progressive leadership experience in healthcare revenue cycle, revenue integrity, or related functions.
• Demonstrated experience leading:
• Revenue Integrity operations
• Charge capture programs
• Chargemaster (CDM) management
• Related revenue cycle functions in a complex healthcare environment
• Experience working within hospital revenue cycle operations.
• License/Certification/Registration: Preferred certifications include:
• CHRI (Certified Healthcare Revenue Integrity Professional)
• CCS (Certified Coding Specialist)
• CPC (Certified Professional Coder)
• CRCR (Certified Revenue Cycle Representative)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)
• CHC (Certified in Healthcare Compliance)
• Demonstrated expertise in:
• Team leadership and talent development
• Coaching and succession planning
• Building high-performing teams
• Executive-ready communication skills, including:
• Written communication
• Verbal communication
• Facilitation and presentation skills
• Executive stakeholder engagement
• Strong change leadership capabilities with a continuous improvement mindset.
• Demonstrated performance management discipline, including:
• Key Performance Indicators (KPIs)
• Operational cadence
• Accountability frameworks
• Experience providing enterprise governance and decision-making leadership for:
• Charge capture processes
• Revenue integrity edits
• Chargemaster (CDM) standards
• Revenue cycle controls
• Proven ability to influence and collaborate across:
• Clinical operations
• Finance departments
• Compliance teams
• Revenue cycle leadership
• Operational stakeholders
• Strong skills in:
• Data-driven prioritization
• Structured problem solving
• Revenue leakage prevention
• Operational optimization
• Ability to navigate escalations and complex issues within matrixed healthcare organizations.
• Experience building closed-loop feedback mechanisms between upstream and downstream revenue cycle teams.
• Deep expertise in:
• Charge capture workflows
• Revenue integrity operating models
• Facility and service-line revenue processes
• Strong understanding of:
• Revenue integrity edit concepts
• Pre-bill edit operations
• Defect identification and triage
• Root-cause analysis and resolution methodologies
• Knowledge of reimbursement methodologies and the impact of charge structure on:
• Billing accuracy
• Claim edits
• Reimbursement outcomes
• Payment optimization
• Demonstrated experience with Chargemaster (CDM) management.
• Working knowledge of:
• National Correct Coding Initiative (NCCI) edits
• Charge and coding compliance concepts
• Revenue cycle regulatory requirements
• Revenue integrity best practices
• Strong technology fluency with experience using:
• EHR charge build tools
• Chargemaster (CDM) and pricing repositories
• Reconciliation and variance analytics tools
• Revenue cycle reporting platforms
• Operational dashboards and analytics solutions
• Strong analytical, operational, compliance, and leadership skills with a focus on revenue optimization, governance, regulatory compliance, and continuous process improvement.