Banner Health · 2 hours ago
Associate Director Revenue Integrity
United States
Full-time
Remote
Mid, Senior Level, Lead/Staff
$37.14/hr - $61.90/hr
5+ years expBanner Health is a nationally-recognized healthcare leader seeking an Associate Director of Revenue Integrity. This role involves operational oversight of the Revenue Integrity Analyst team, focusing on revenue optimization, charge capture integrity, and compliance with regulatory agencies.
Health CareInsuranceNon Profit
Responsibilities
Monitors and trends financial data related to charge capture progress toward revenue cycle goals, identifies variances and implements process improvement as necessary to enhance compliant revenue optimization
Provide operational oversight of the revenue integrity staff and serve as a liaison between Revenue Integrity and clinical/operational departments to escalate charge issues and inquiries to key stakeholders. Supports finance, operations, and revenue cycle teams through special projects
Develop, educate and manage Revenue Integrity Specialists, supporting them in analyzing, communicating and educating hospital and clinics regarding deficient charging trends and corrective action plans to resolve deficiencies
Engage with clinical areas and revenue cycle departments across Banner to confirm billable items and services are charged appropriately and in a timely manner
Provide revenue integrity recommendations and updates to the Revenue Integrity Steering Committee with potential actions for remediation. Upon resolution and approval of recommendations confirm appropriate actions are carried out accurately and completely
Maintains current knowledge of regulatory changes impacting charge practices. Develops charge capture and reconciliation policy and procedures. Monitor/report monthly KPI Revenue integrity metrics dashboard
Implement charge capture review program for hospital revenue generating departments. Coordinates processes between operations and revenue cycle departments ensuring that the accounts reviewed reflect proper documentation, charge capture, coding and billing to support proper payment
Manages charge reviews to ensure annual coding changes/new service lines incorporated into charge master flow correctly to the patient bill. Purpose of these special projects are department specific and the goal is to identify potential compliance issues and revenue leakage issues
Works independently under limited supervision. Makes independent judgments based on specialized knowledge. Holds system-wide responsibility for managing the company’s charge capture, charge reconciliation and chart reviews related to charging issues. Internal customers: company leadership, company’s compliance committees, revenue cycle team, physicians and clinical staff
Qualification
Required
Bachelors degree in business, healthcare administration or equivalent work experience
5+ years recent experience in Revenue Integrity (clearly reflected in your attached resume)
At least 2 years of experience within leadership role, including performance management of direct reports
Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of a bachelor's degree in business, health care administration or previous work experience
In the acute care environment, may require a Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT) or Certified Coding Specialist (CCS) in an active status with American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC), or relevant work experience
In the ambulatory setting, requires Certified Professional Coder (CPC) certification or Certified Coding Specialist-Physician (CCS-P), with RHIA, RHIT or CCS, or relevant work experience
Requires proficiency typically obtained with five or more years of health care coding and billing experience
Must possess a thorough knowledge of ICD/DRG coding and/or CPT coding principles, and the recommended American Health Information Management Association coding competencies
Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record and an extensive knowledge of all coding conventions and reimbursement guidelines, across all services lines, LCD/NCDs and MAC/FIs
Extensive critical and analytical thinking skills required
Ability to organize workload to meet deadlines and maintain confidentiality of all work information
Ability to research, interpret and develop recommendations
Excellent written and oral communication skills are required
Effective human relations and leadership skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts
Preferred
Additional related education and/or experience preferred
Benefits
Variety of health, financial, and security benefits
Company
Banner Health
Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,
10001+ employees
H1B Sponsorship
Banner Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (85)
2024 (70)
2023 (35)
2022 (47)
2021 (51)
2020 (29)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Diane and Bruce Halle Foundation
2025-10-24Grant
Leadership Team
Andy Kramer Petersen
President & CEO Banner Health Foundation
Brian P. Kellar
Chief Executive Officer
Recent News
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