System Director, Revenue Integrity

Norton Healthcare; Louisville (KY); On-site; USD 90,000 - 120,000; Full time

Job summary

Norton Healthcare is seeking a System Director for Revenue Integrity to oversee the hospital's revenue cycle, ensuring compliance with regulations and accurate billing. The role involves managing education programs, financial analysis, and collaboration across departments to enhance revenue integrity.

Qualifications

• Five years of management experience in a healthcare setting.
• Experience with Epic is desired.

Responsibilities

• Ensure integrity of revenue cycle and compliance with regulations.
• Direct education programs for staff on documentation and compliance.
• Monitor Charge Description Master for proper charge capture.

Skills

Management

Regulatory Compliance

Financial Analysis

Education

Bachelor Degree

Master Degree

Tools

Epic

Job description

Join to apply for the System Director, Revenue Integrity role at Norton Healthcare

4 days ago Be among the first 25 applicants

Responsibilities

• The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, including accurate documentation reflecting registration, clinical service delivery, charging, coding, billing, and remittance, in compliance with regulatory and payor requirements.
• Directs ongoing education programs for physicians and ancillary staff regarding documentation and regulatory compliance, monitoring CMS requirements and integrating them into facility and practice processes.
• Supports Patient Financial Services to ensure accurate billing and payment compliance, reviews billing edit issues, and serves on relevant committees to ensure compliance.
• Provides support and education to Norton Healthcare coders to improve coding accuracy across hospital, physician services, and Norton Cancer Institute, including planning coding audits.
• Monitors the Charge Description Master (CDM) to ensure proper charge capture and reimbursement, collaborating with clinical and support departments.
• Performs financial analyses of revenue and reimbursement, acting as a link between clinical and financial departments, and supports future service line development regarding reimbursement potential.

Qualifications

• Required: Five years of management experience in a healthcare setting; Bachelor Degree.
• Desired: One year of experience with Epic; Master Degree; Certified Coding Specialist or Certified Professional Coder.