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Director Professional Revenue Integrity Jobs (NOW HIRING)

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Director, Revenue Integrity

Gainesville, FL · On-site

$150 - $200/hr

Overview The Director of Revenue Integrity provides enterprise-wide leadership over charge capture ... CPC (Certified Professional Coder) * CRCR (Certified Revenue Cycle Representative) * RHIA ...

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UF Health

Director, Revenue Integrity

Gainesville, FL · Remote

Overview The Director of Revenue Integrity provides enterprise-wide leadership over charge capture ... CPC (Certified Professional Coder) * CRCR (Certified Revenue Cycle Representative) * RHIA ...

UF Health

Director, Revenue Integrity

Gainesville, FL · On-site

Overview The Director of Revenue Integrity provides enterprise-wide leadership over charge capture ... CPC (Certified Professional Coder) * CRCR (Certified Revenue Cycle Representative) * RHIA ...

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How much do director professional revenue integrity jobs pay per year?

As of Sep 8, 2026, the average yearly pay for director professional revenue integrity in the United States is $129,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $94,500.00 and $140,000.00 per year, depending on experience, location, and employer.

What does a director professional revenue integrity do?

A Director of Professional Revenue Integrity oversees the processes and systems that ensure accurate and compliant billing for professional healthcare services. This role involves managing teams responsible for revenue capture, charge integrity, coding accuracy, and regulatory compliance. The director works closely with clinical, billing, and compliance departments to optimize revenue, reduce errors, and ensure that all professional service claims meet legal and payer requirements. Their work is crucial for the financial health of a healthcare organization and for maintaining trust with patients and insurers.

What are the key skills and qualifications needed to thrive as a director professional revenue integrity?

To thrive as a Director of Professional Revenue Integrity, you need deep knowledge of healthcare revenue cycle management, coding compliance, and financial analysis, usually supported by a bachelor's degree in healthcare administration or a related field. Familiarity with revenue cycle management (RCM) software, coding systems like CPT/ICD-10, and certifications such as CPC or CCS-P are typically required. Leadership, strategic thinking, and strong communication skills are crucial for guiding teams and collaborating across departments. These skills ensure accurate revenue capture, regulatory compliance, and optimized financial performance for healthcare organizations.

How does the director professional revenue integrity collaborate with other departments to ensure accurate revenue capture?

As a Director of Professional Revenue Integrity, collaboration with departments such as coding, billing, compliance, and clinical operations is essential to ensure that all professional services are accurately documented and appropriately billed. Regular cross-departmental meetings and audits are common to identify and address discrepancies, educate teams on compliance standards, and streamline revenue cycle processes. This role often leads initiatives to implement best practices and resolve complex billing challenges, requiring strong communication and leadership skills to align diverse teams toward common revenue integrity goals.

What are popular job titles related to Director Professional Revenue Integrity jobs?

For Director Professional Revenue Integrity jobs, the most frequently searched job titles are:

Infographic showing various Director Professional Revenue Integrity job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $129,482 per year, or $62.3 per hour.

Revenue Integrity Consultant, Bus. Performance Optimization (Hybrid)

Houston, TX • On-site

Memorial Hermann Health System
Health Care and Social Assistance • 10K+ employees
Learn more about Memorial Hermann Health Systemexternal

Full-time

Posted 20 days ago

Key responsibilities

  • Supports hospital and physician enterprise operations by leading value stream assessments, developing standardized workflows, and enabling scalable solutions through technology and data-driven decision-making.

  • Evaluates workflows and system configurations for missing, late, or duplicate processes, performs root cause analysis, and recommends improvements to prevent revenue leakage.

  • Collaborates with teams on data reporting, develops reports and dashboards, interprets revenue trends, and provides actionable recommendations to stakeholders.

Memorial Hermann Health System rating

7.7

Company rating: 7.7 out of 10

Based on 293 frontline employees who took The Breakroom Quiz

164th of 898 rated healthcare providers

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
This position is responsible for driving operational efficiency, performance optimization, and strategic transformation across healthcare revenue cycle functions through expert business performance optimization (BPO) consulting. The BPO Consultant serves as a cross-functional liaison supporting initiatives in workflow redesign, automation, continuous process improvement projects, EHR and billing system optimization, and KPI development. This role supports hospital and physician enterprise operations by leading value stream assessments, developing standardized workflows, and enabling scalable solutions through technology and data-driven decision-making. The consultant partners with IT, Finance, Operations, and Compliance teams to enhance transparency, accuracy, and long-term sustainability of revenue and compliance performance. Typically reports to the Director, Professional Revenue Integrity.Job Description
Minimum Qualifications
Education: Associate's degree in Healthcare Administration, Finance, Business, Nursing, or related field, or In lieu of Associate's degree, two (2) additional years of experience is required, for a total of seven (7) years of progressive experience in Revenue Cycle required.
Licenses/Certifications:
One of the following is preferred:
  • Certified Professional Coder (CPC), or
  • Certified Coding Specialist (CCS), or
  • Certified Professional Biller (CPB)
  • Certified Revenue Cycle Representative (CRCR), or
  • Certified Healthcare Revenue Integrity (CHRI), or
  • Project Management Professional (PMP), or
  • Certified Lean Six Sigma

Experience / Knowledge / Skills:
  • Five (5) years of progressive experience in Revenue Cycle required; experience in a consulting, analytics, or hospital system environment preferred. In lieu of Associate's degree, two (2) additional years of experience is required, for a total of seven (7) years of progressive experience in Revenue Cycle required.
  • Extensive knowledge of CPT/HCPCS/ICD-10, CMS process rules, payer reimbursement strategies, and workflow and process methodologies (DRG, APC, OPPS).
  • Proficient in Epic (one or more Epic modules, especially Epic workflow and WQs), Microsoft Excel (pivot tables, formulas), and reporting tools (i.e. Tableau, Power BI, or SQL).
  • Strong written and verbal communication and experience presenting to executive audiences.
  • Proven success driving multi-stakeholder initiatives and optimizing revenue capture processes.
  • Ability to lead complex assessments, manage projects, and influence cross-functional teams.

Principal Accountabilities
  • Charge Capture Responsibilities:
    • Evaluates workflows and system configuration for missing, late, or duplicate workflow and processes.
    • Performs root cause analysis on workflow and process discrepancies and coordinates workflow and process reconciliation.
    • Recommends and implements workflow and documentation improvements to prevent leakage.
  • Process Architecture & Pricing Responsibilities:
    • Collaborates with pricing and process architecture teams on annual price reviews, updates, and payer impact modeling.
    • Consults on workflow and process code additions, deletions, and revisions based on service line expansion or reimbursement updates.
    • Supports pricing strategies that maintain operational compliance and competitiveness.
  • Data Analysis & Reporting Responsibilities:
    • Collaborates and uses data reporting resources to develop reports, dashboards, and variance analyses using Epic.
    • Interprets trends in revenue capture, claim process breakdowns or gaps, denial overturns, workflow and process lag, and payer mix shifts.
    • Provides actionable recommendations with measurable outcomes to clinical and finance stakeholders.
  • Coding & Billing Compliance Responsibilities:
    • Identifies improper coding/documentation contributing to revenue variances.
    • Collaborates with coding, HIM, and operational compliance departments to ensure workflow and process and code integrity.
    • Assists with payer denial resolution strategy and monitors audit outcomes (internal and external).
  • Project Management & Consulting Responsibilities:
    • Leads consulting engagements with operational and clinical teams on new initiatives (e.g., service expansion, provider onboarding, payer policy updates).
    • Provides subject matter expertise during system implementations and upgrades, including Epic optimization.
    • Tracks milestones, defines KPIs, mitigates risks, and ensures post-implementation sustainability.
  • Collaboration & Training Responsibilities:
    • Provides training to department stakeholders on workflow and process policies, documentation expectations, Epic functionality, and revenue integrity standards.
    • Acts as a liaison between IT, Coding, Compliance, and Operational leaders to ensure aligned goals and effective communication.
    • Educates on current process and charging regulations, including No Surprises Act (NSA), GFE, and regulatory updates.
    • Supports continuous improvement projects across workflow and process review, process breakdowns or gaps management, and reimbursement accuracy.
  • Additional Accountabilities:
    • Supports continuous improvement projects across workflow and process review, process breakdowns or gaps management, and reimbursement accuracy.
    • Conducts operational compliance reviews and audits trails to ensure defensible process practices.
    • Escalates high-risk revenue impacts with detailed analysis and mitigation strategies.
    • Represents Business Performance Optimization team on governance committees and operational workgroups.
    • Promotes a culture of transparency, accountability, and ethical process practices.
    • Complies with HIPAA and all regulatory, accreditation, and organizational policies.
    • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
    • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a resource to less experienced staff.
    • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards of providing safe, caring, personalized and efficient experiences to patients and our workforce.
    • Other duties as assigned.

What Memorial Hermann Health System employees say

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About Memorial Hermann

Sourced by ZipRecruiter

The Memorial Hermann Southwest Hospital Women's Services is a magnet hospital as well as a level 3 designated facility with a blend of high-risk and community patients. This creates a fast-paced environment and a chance to work with a diverse population. Our Labor & Delivery unit has a low c-section rate and is extremely collaborative and close-knit. We have the ability to cross-train through all areas of Women's Services. We have a family-like atmosphere with an amazing amount of comradery, and our low turnover rates attest to this. Nurses here feel like they not only have autonomy but can also be advocates for their patients. MHSW not only prides ourselves on evidenced based practice, but nurses have a strong voice.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1907

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