Sr. Director - Revenue Integrity (Remote)

Stanford Health Care; California; Remote; USD 250,000 - 400,000; Full time

Job summary

Stanford Health Care seeks a strategic Senior Director of Revenue Integrity to lead enterprise-wide revenue integrity operations across Stanford Health Care and SHC Tri-Valley. You will ensure full revenue capture, accurate charging, optimized coding, and strong cross-functional alignment with clinical, operational, and financial stakeholders.

You will drive data-driven strategies, leverage AI-enabled tools, and champion process standardization.

Responsibilities

• Develops organizational strategies for enterprise-wide hospitals and professional revenue integrity.
• Leads policy development for charging, charge capture, validation, charge reconciliation, CDM Governance and documentation integrity.
• Oversees integration of revenue integrity operations across clinical departments, SOM leadership, Patient Financial Services, Office of Compliance & Privacy, HIM, and Coding.
• Represents Revenue Integrity as a senior leader on enterprise committees, Steering Committees, Quality & Compliance groups, and major IT optimization programs.
• Serves as a thought leader and change agent, driving innovation, automation, and best practice across the revenue integrity functions.
• Ensures timely, accurate, and compliant completion of all charge capture, CDM maintenance, reconciliations, and revenue validation activities.
• Designs and oversees comprehensive quality assurance programs for charging accuracy, documentation integrity, coding quality integration, and loss prevention.
• Utilizes Lean, Six Sigma, and process improvement methodologies to optimize workflows and eliminate preventable revenue leakage.
• Ensures the appropriate EPIC system configuration, workflow alignment, and adoption of technology enhancement opportunities.
• Partners with IT, EPIC leadership, Revenue Cycle Optimization and digital innovation teams to enhance revenue impacting workflows.
• Evaluates and integrates AI driven tools for charge capture, audit support, and documentation improvement.
• Ensures staff have the technology, training, and resources needed for optimized performance.

Skills

Strategic leadership

Change management

Data analytics

Lean Six Sigma

Tools

EPIC

Job description

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Senior Director of Revenue Integrity is a strategic, systems-oriented leader responsible for enterprise-wide leadership, strategic direction, and oversight of hospital and professional revenue integrity operations across Stanford Health Care and SHC Tri-Valley. This role ensures full revenue capture, accurate and compliant charging, optimized coding integration, and strong cross functional alignment with clinical, operational, and financial stakeholders.

Operating as a key leader within the Mid-Revenue Cycle, the Senior Director partners closely with executive leaders, clinical department chairs, clinical leadership, finance, School of Medicine partners, Supply Chain, Pharmacy, Strategic Pricing and IT teams. The role is accountable for developing and operationalizing strategies that enhance revenue performance, ensure regulatory compliance, charge capture workflows, and enterprise wide process optimization. The position is accountable for developing and operationalizing strategies that enhance revenue performance, ensure regulatory compliance, improve charge capture workflows, and drive enterprise-wide process standardization and optimization.

The Senior Director utilizes data driven insights, technology advancements (including AI enabled tools) solutions, and process innovation to advance revenue integrity functions. This individual is responsible for leading multiple functional teams, managing substantial budgets, developing long-range planning, and ensuring that strategic initiatives align with Stanford Health Care priorities for patient care, teaching, research, and financial stewardship.

Locations

Stanford Health Care

What you will do

Strategic Leadership & Governance

• Develops organizational strategies for enterprise-wide hospitals and professional revenue integrity, including long-range plans and annual goals.
• Leads policy development for charging, charge capture, validation, charge reconciliation, CDM Governance and documentation integrity.
• Oversees integration of revenue integrity operations across clinical departments, SOM leadership, Patient Financial Services, Office of Compliance & Privacy, HIM, and Coding.
• Represents Revenue Integrity as a senior leader on enterprise committees, Steering Committees, Quality & Compliance groups, and major IT optimization programs.
• Serves as a thought leader and change agent, driving innovation, automation, and best practice across the revenue integrity functions.

Operational Effectiveness & Workflow Optimization

• Ensures timely, accurate, and compliant completion of all charge capture, CDM maintenance, reconciliations, and revenue validation activities.
• Designs and oversees comprehensive quality assurance programs for charging accuracy, documentation integrity, coding quality integration, and loss prevention.
• Utilizes Lean, Six Sigma, and process improvement methodologies to optimize workflows and eliminate preventable revenue leakage.
• Ensures the appropriate EPIC system configuration, workflow alignment, and adoption of technology enhancement opportunities.

Stakeholder Engagement & Communication

• Serves as the primary liaison for SHC revenue integrity matters to School of Medicine DFAs, clinical leadership, and administrative partners.
• Directs preparation of enterprise dashboards, KPIs, business reviews, and executive level reporting.
• Educates hospital and professional revenue generating departments on charge capture requirements, compliance, and CDM practices.

Charge Description Master (CDM) & Professional Fee Schedule Oversight

• Oversees governance of the hospital CDM and SOM professional fee schedule to ensure regulatory compliance and revenue accuracy.
• Approves additions, deletions, and modifications stemming from new services, regulatory updates, payor requirements, and clinical changes.
• Ensures alignment between CDM, fee schedules, clinical documentation, and EPIC configuration.

Revenue Optimization & Denial Prevention

• Leads enterprise initiatives to mitigate late charges, preventable denials, claim edit failures, and avoidable under billing.
• Identifies meaningful revenue opportunities using analytics, benchmarking, and auditing.

Technology, EHR, & Emerging Capabilities

• Partners with IT, EPIC leadership, Revenue Cycle Optimization and digital innovation teams to enhance revenue impacting workflows.
• Evaluates and integrates AI driven tools for charge capture, audit support, and documentation improvement.
• Ensures staff have the technology, training, and resources needed for optimized performance.

Leadership, Talent Development & Culture

• Leads and men