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Director Professional Revenue Integrity Jobs (NOW HIRING)

Austin Regional Clinic

$150 - $200/hr

The Director is responsible for the Professional Billing (PB) and Revenue Integrity processes which includes a focus on charges, reducing billing errors, and improving daily revenue flow for ...

Bellin

Manager, Revenue Integrity

Green Bay, WI · On-site +1

Reporting to the Director of Revenue Integrity, this role translates strategic priorities into ... Certification from a recognized professional coding or health information organization, such as ...

Renown Health

Director of Revenue Integrity

Reno, NV · On-site

The Director of Revenue Integrity will be charged with ensuring the integrity of the revenue across all entities of the health network. This will be accomplished through review and assurance of ...

Renown Health

Director of Revenue Integrity

Reno, NV · On-site

$71.51 - $100.11/hr

The Director of Revenue Integrity will be charged with ensuring the integrity of the revenue across all entities of the health network. This will be accomplished through review and assurance of ...

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Director Professional Revenue Integrity information

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$59.5K

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$216K

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

As of Sep 9, 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.

Billing & Revenue Integrity Director

Austin, TX • On-site

St. Louis Arc
501 - 1,000 employees
Learn more about St. Louis Arcexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Key responsibilities

  • Directs the organization's Professional Billing and Revenue Integrity functions.

  • Provides leadership and oversight for all operational workflows required to move completed patient encounters to accurate initial claim submission.

  • Oversees charge review work queues and ensures claims are generated and submitted accurately, completely, and timely in accordance with organization standards and payer requirements.

Job description

ABOUT AUSTIN REGIONAL CLINIC
Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/
PURPOSE
The Billing & Revenue Integrity Director is responsible for ensuring that patient encounters are accurately and completely translated into clean claims for timely submission to payers. This position provides leadership and oversight for billing operations and revenue integrity activities. The Director is responsible for the Professional Billing (PB) and Revenue Integrity processes which includes a focus on charges, reducing billing errors, and improving daily revenue flow for clinician services. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.
ESSENTIAL FUNCTIONS
  • Directs the organization's Professional Billing and Revenue Integrity functions.
  • Provides leadership and oversight for all operational workflows required to move completed patient encounters to accurate initial claim submission.
  • Oversees Billing & Revenue Integrity operations through direct supervision of managers and supervisors. Holds managers and their staff accountable for achieving stated objectives.
  • Works effectively with leaders to develop and implement consistent, sustainable business processes.
  • Through the managers ensures competency of staff through development and regular evaluations.
  • Ensures claims are generated and submitted accurately, completely, and timely in accordance with organization standards and payer requirements.
  • Monitors encounters that have not progressed to billing and ensures appropriate follow-up and resolution.
  • Establishes clear accountability for unresolved encounters, billing holds, edits, and work queues.
  • Maintains appropriate controls to prevent encounters from remaining unbilled or unresolved beyond established thresholds.
  • Ensures appropriate escalation processes exist for complex or aging billing issues.
  • Oversees charge review work queues designed to identify incomplete, inconsistent, missing, duplicate, or potentially inaccurate charges before claim submission.
  • Establishes standardized processes for researching and resolving charge review edits.
  • Oversees reconciliation processes designed to identify encounters, procedures, supplies, medications, diagnostic services, or other billable activity that many have not been appropriately captured.
  • Assists the organization in denial management by analyzing root causes for rejected and denied insurance claims to propose process improvements.
  • Develops full-scale project plans and related communication documents, project post mortems, and creates a recommendations report in order to identify successful and unsuccessful project elements.
  • Develops best practices and tools for project execution and management.
  • Responsible for the implementation of department-specific goals and objectives consistent with the organization's strategic plan and goals and industry benchmarks.
  • Collaborates with departments throughout the company to streamline procedures related to the revenue cycle process to achieve the effectiveness, efficiency, compliance and accuracy of the billing effort.
  • Communicates regularly with others about department progress toward goal achievement, critical factors, and obstacles.
  • Sets and continually manages department expectations with team members and other teams.
  • Determines the frequency and content of status reports from the department, analyzes results, and troubleshoots problem areas.
  • Participates in system upgrade planning and implementation.
  • Coordinates resources with other teams and departments in the organization.
  • Leads and/or attends meetings, participates in workgroups and/or serves on committees.
  • Ensures internal controls are maintained to reduce the potential for error.
  • Demonstrates concern and respect for others in all interactions and inspires confidence and trust.
  • Promotes long term financial stability and sustainable growth to safeguard our ability to continue to offer high quality, coordinated care.
  • Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
  • Regular and dependable attendance.
  • Follow the core competencies set forth by the organization, which are available for review on ARC SharePoint.

OTHER DUTIES AND RESPONSIBILITIES
  • Performs other duties as assigned.

QUALIFICATIONS
Education and Experience
Required:
  • Bachelor's Degree in Healthcare Administration, Finance, or related field and four (4) or more years of experience in a multi-specialty medical group, to include at least three (3) years supervision of staff, or
  • High school diploma or equivalent and eight (8) or more years of experience in a multi-specialty medical group, to include at least three (3) years supervision of staff.
  • Proven proficiency in financial management, which includes comprehensive understanding of insurance plans as they relate to physician practice.

Preferred: Experience working in an organization that utilizes Epic. Experience working in both an outpatient clinical setting and familiarity with surgical specialty practices and their outside relationships.
Certificate/License
Certification from AAPC (CPC) or AHIMA (RHIA), preferred.
Knowledge, Skills and Abilities
  • Proven ability to lead teams, including building cross functional teams.
  • In-depth knowledge and understanding of healthcare services, insurance and billing practices, procedural and diagnostic coding.
  • Deep expertise in CPT, HCPCS, and ICD-10 codes.
  • Broad knowledge of application integration and data flow.
  • Exposure and working knowledge of Epic strongly preferred.
  • Proficient computer skills and knowledge of Microsoft Excel.
  • Ability to hire, develop, and retain best talent through competency-based hiring and selection, career development, and motivational strategies.
  • Skill and ability to translate visionary concepts into well defined, documented technical requirements and present them to senior leadership.
  • Ability to engage others, listen and adapt response to meet others' needs.
  • Ability to align own actions with those of other team members committed to common goals.
  • Excellent verbal and written communication skills.
  • Ability to manage competing priorities.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to understand opposing points of view on highly complex issues and to negotiate and integrate different viewpoints.
  • Ability to make decisions which have significant impact on the department's credibility, operations, and services.
  • Ability to understand, recall, and communicate factual information.
  • Ability to understand, recall, and apply oral and/or written instructions or other information.
  • Ability to organize thoughts and ideas into understandable terminology.
  • Ability to apply common sense in performing job.
  • Strong organizational and analytical skills with attention to detail.
  • Ability to present in front of groups and lead discussions.
  • Excellent problem-solving skills.
  • Ability to produce quality outcomes within tight timeframes.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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