Revenue Integrity Team Lead

North Florida Surgeons, P.A.; Jacksonville (FL); On-site; USD 90,000 - 130,000; Full time

Job summary

North Florida Surgeons, P.A. in Jacksonville, FL seeks a Revenue Integrity Team Lead to serve as the operational leader for charge capture, billing compliance, and reimbursement optimization.

You will mentor team members, oversee workflows, coordinate projects, and ensure revenue integrity processes are executed efficiently and accurately. The role focuses on audit and compliance oversight, analytics, and cross-functional collaboration with coding leadership, managed care, and clinical

Qualifications

• 5-7 years of progressive revenue cycle experience.
• 2+ years of revenue integrity, coding, auditing, or reimbursement experience.
• Leadership or supervisory experience preferred.

Responsibilities

• Coordinate daily work assignments and departmental priorities.
• Serve as a resource for Revenue Integrity Specialists.
• Assist in monitoring productivity and quality standards.
• Escalate complex issues to management as necessary.
• Lead departmental projects and process improvement initiatives.
• Review revenue leakage opportunities and recovery efforts.
• Monitor charge reconciliation activities.
• Identify trends affecting reimbursement and financial performance.
• Evaluate operational workflows and recommend improvements.
• Conduct complex audits involving charge capture, documentation integrity, coding compliance and billing accuracy.
• Review audit findings and implement corrective action plans.
• Ensure compliance with regulatory requirements and payer contracts.
• Create and maintain advanced revenue integrity reports; analyze denials, charge lag, underpayments, revenue leakage and productivity metrics; present findings to leadership; mentor specialists; facilitate educational sessions; assist onboarding; collaborate with coding leadership, revenue cycle, managed care, compliance, clinical operations, IS; participate in committees.

Skills

Leadership

Coaching

Data analysis

Project management

Communication

Education

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

Job description

The Revenue Integrity Team Lead serves as the primary operational lead for Revenue Integrity activities and acts as a subject matter expert for charge capture, billing compliance, reimbursement optimization, and denial prevention. The Team Lead assists with overseeing daily workflows, mentoring team members, coordinating projects, and ensuring revenue integrity processes are executed efficiently and accurately.

Essential Duties and Responsibilities

Operational Leadership

• Coordinate daily work assignments and departmental priorities.
• Serve as a resource for Revenue Integrity Specialists.
• Assist in monitoring productivity and quality standards.
• Escalate complex issues to management as necessary.
• Lead departmental projects and process improvement initiatives.

Revenue Optimization

• Review revenue leakage opportunities and recovery efforts.
• Monitor charge reconciliation activities.
• Identify trends affecting reimbursement and financial performance.
• Evaluate operational workflows and recommend improvements.

Audit & Compliance Oversight

• Conduct complex audits involving:
  • Charge capture
  • Documentation integrity
  • Coding compliance
  • Billing accuracy
• Review audit findings and implement corrective action plans.
• Ensure compliance with regulatory requirements and payer contracts.

Analytics & Reporting

• Create and maintain advanced revenue integrity reports.
• Analyze:
  • Denials
  • Charge lag
  • Underpayments
  • Edit work queues
  • Revenue leakage
  • Productivity metrics
• Present findings to leadership and operational stakeholders.
• Mentor Revenue Integrity Specialists.
• Facilitate provider and staff educational sessions.
• Assist with onboarding of new employees.
• Partner with:
  • Coding leadership
  • Revenue Cycle leaders
  • Managed Care
  • Compliance
  • Clinical Operations
  • Information Systems
• Participate in organizational committees and revenue cycle initiatives.

Qualifications

Education

• Bachelor's degree preferred in Healthcare Administration, Business, Finance, Nursing, or related field.

Experience

• 5-7 years of progressive revenue cycle experience.
• 2+ years of revenue integrity, coding, auditing, or reimbursement experience.
• Leadership or supervisory experience preferred.

Certifications Preferred

• CPC
• CPMA
• RHIA
• RHIT
• CHRI
• CCS-P

Knowledge, Skills, and Abilities

• Expert understanding of healthcare reimbursement methodologies.
• Strong leadership and coaching skills.
• Advanced data analysis and reporting capabilities.
• Ability to lead projects and process improvement initiatives.
• Strong presentation and facilitation skills.