Director, Revenue Integrity

Socket.dev; Gainesville (FL); On-site; USD 150,000 - 190,000; Full time

Job summary

Socket.dev seeks a Director of Revenue Integrity to lead enterprise-wide charge capture, revenue integrity edits, and chargemaster management across all facilities and service lines. You will set policies, drive standardization, and ensure audit-ready compliance with disciplined change management.

The ideal candidate has a Bachelor’s in a healthcare/business-related field, 7–10 years in revenue cycle leadership, and master’s degree preferred with certifications in revenue integrity.

Qualifications

• Bachelor’s degree required.
• Master’s degree preferred.
• 7–10 years of progressive leadership experience in healthcare revenue cycle or related functions.
• Experience leading Revenue Integrity operations, charge capture programs, and chargemaster (CDM) management.

Responsibilities

• Provide enterprise-wide leadership over charge capture, revenue integrity edit operations, and chargemaster management.
• Establish standardized policies, decision rights, and internal controls to reduce variation and prevent revenue leakage.
• Partner with clinical departments, Finance, Compliance, IT, Coding, Billing, Follow-Up, and RCM Business Support to strengthen governance, reporting, and execution.

Skills

Leadership

Stakeholder engagement

Data analytics

Problem solving

Education

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

Master’s degree (MHA/MBA) preferred

Tools

EHR systems

CDM tooling

Analytics platforms

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.