Director, Revenue Integrity

UF Health; Gainesville (FL); On-site; USD 150,000 - 230,000; Full time

Job summary

UF Health is seeking a Director of Revenue Integrity to lead enterprise-wide charge capture, revenue integrity edits, CDM operations, and revenue reconciliation across facilities. You will establish standardized policies, decision rights, and internal controls to minimize leakage while ensuring audit-ready compliance.

The role requires 7–10 years in healthcare revenue cycle leadership, with advanced degrees preferred and certifications in revenue integrity or related fields.

Qualifications

• Bachelor’s degree is required.
• 7–10 years of progressive leadership in healthcare revenue cycle or related functions.
• Experience leading revenue integrity operations, charge capture programs, and CDM management.
• Experience in hospital revenue cycle operations.
• Preferred certifications in revenue integrity or coding.

Responsibilities

• Provide enterprise-wide leadership over charge capture, revenue integrity edits, and CDM operations.
• Establish standardized policies, decision rights, and internal controls to reduce leakage.
• Partner with clinical, Finance, Compliance, IT, and Billing teams to strengthen governance and reporting.
• Drive KPI development, operational cadence, and accountability frameworks.
• Build closed-loop feedback between upstream and downstream revenue cycle teams.

Skills

Leadership

Executive communication

Stakeholder management

Process improvement

Data analysis

Revenue integrity

Education

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

Master's degree preferred

Tools

EHR charge build tools

Chargemaster (CDM) management

Reconciliation analytics tools

Revenue cycle reporting 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.