Senior Director, Revenue Integrity jobs in United States
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Banner Health · 17 hours ago

Senior Director, Revenue Integrity

Banner Health is one of the largest nonprofit health systems in the country, seeking a Senior Director of Revenue Integrity to lead the development and sustainability of compliant charge capture workflows. This role involves overseeing revenue integrity programs, managing staff, and ensuring compliance with regulatory changes impacting the revenue cycle.

Health CareInsuranceNon Profit
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H1B Sponsor Likelynote

Responsibilities

Guides the development and implementation of goals and objectives for various revenue integrity programs and processes (such as charge capture, compliance, Charge Description Master, denials management). Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services. Implements and evaluates revenue integrity programs, develops effective tools to measure performance, analyzes related data, prepares reports, and makes recommendations to senior leadership based on findings
Directs, supervises, and evaluates the work of staff and managers. Holds staff accountable for achieving plans and performance targets. Ensures appropriate staffing and coverage for the System regarding Revenue Integrity functions. Works with staff to identify and resolve the most complex revenue integrity related issues and problems. Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders
Builds and supports effective relationships with internal and external stakeholders and organizations. Develops partnerships, coordinates activities, reviews work, exchanges information, and/or resolves problems related to Revenue Integrity
Directs and participates in the development, implementation, and consistent application of effective organizational policies, procedures, and practices. Develops and supports internal controls to ensure that assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved
Develops and oversees the department budget to meet corporate goals and objectives. Meets annual budgetary goals. Translates organizational plans, goals, and initiatives into applicable financial related targets. Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance. Manages and reports expenditures
Communicates the department vision, translating it into actionable projects and activities. Maximizes management staff’s contributions and assures timely decision-making reflecting the mission, vision, and values of the system
Reviews, prepares, analyzes, and presents reports and recommendations to senior leadership regarding operations, programs, services, and/or other applicable areas of interest in order to provide concise and accurate information that aids in decision-making
Participates as a subject-matter expert and may lead or facilitate task forces, teams, and/or councils to plan, implement and coordinate programs, services, and/or activities for the organization. May serve as a staff resource to the organization’s Governing Board and/or applicable committees
This position has direct leadership accountability for decision making and support to help ensure the continued financial stability of the organization and achievement of performance metrics. This position requires the skill to negotiate and influence. Customers of this position are both internal and external, including leadership, staff, medical staff, regulatory agencies, and/or the community

Qualification

Revenue cycle managementCharge capture complianceHealthcare regulations knowledgeBudget managementLeadership experienceCustomer service focusStrategic planningCommunication skillsProblem-solving skillsTeam collaborationMentoring skills

Required

Bachelor's Degree in a relevant field or equivalent level of education and experience
Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of ten plus years of progressively responsible managerial experience within a healthcare system setting or large multi-operational, complex corporate environment
Working knowledge of regulatory, compliance and legal requirements pertaining to revenue cycle, charge capture and revenue integrity
Revenue cycle experience, preferably from middle revenue cycle disciplines
Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association
Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable
Proven track record of driving successful performance outcomes and accomplishing organizational goals
Must demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians

Preferred

Nursing degree, coding certification, CRCR, RHIT, Healthcare Management or similar certification is preferred
Additional Related Education And/or Experience Preferred

Benefits

Option to participate in a variety of health, financial, and security benefits
Management Incentive Program as part of your Total Rewards package

Company

Banner Health

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Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,

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 Stage
Total Funding
unknown
Key Investors
Diane and Bruce Halle Foundation
2025-10-24Grant

Leadership Team

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Andy Kramer Petersen
President & CEO Banner Health Foundation
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Brian P. Kellar
Chief Executive Officer
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Company data provided by crunchbase