Revenue Integrity Director

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The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units.

The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established time frames. Interfaces with highest levels of Client Executive personnel.

• Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject‑matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
• Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non‑regulatory directives.
• Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
• Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost‑effective manner; provides direction to clients for implementation of multiple regulatory requirements.
• Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager‑level associates.
• Maintain a high‑level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting.

• Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions.
• Demonstrated critical‑thinking skills with proven ability to make sound decisions.
• Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals.
• Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely.
• Ability to manage multiple projects/initiatives simultaneously, including resourcing.
• Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner.
• Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement.
• Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels.
• Ability to effectively and professionally motivate team members and peers to meet goals.
• Advanced knowledge of external and internal drivers affecting the entire revenue cycle.
• Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point).

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and…