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CommonSpirit HealthPosted 1 month ago

Sys VP Revenue Cycle Revenue Integrity

RemoteUnited States

Full TimeSenior LevelBachelors DegreeEnterprise

Job Summary

Lead and direct all revenue integrity functions, including charge capture, CDM management, strategic pricing, and compliance, establishing strategic priorities and operating models. Develop and enforce standards for accurate, compliant, and timely charging practices to protect revenue and mitigate risk. Oversee comprehensive charge capture and reconciliation processes across hospital and professional billing to ensure complete and accurate charging. Manage CDM maintenance and strategic pricing, ensuring alignment with reimbursement methodologies and regulatory guidance. Direct all charge audit and compliance activities, including risk identification, monitoring findings, coordinating corrective actions, and managing third-party audit responses. Collaborate with operations, finance, clinical, IT, and vendors to integrate revenue integrity practices and communicate key insights to leadership.

Required Qualifications

  • Bachelors degree
  • 10+ years demonstrated experience in the understanding and management of healthcare revenue cycle
  • 12+ years in the healthcare industry with proven experience in a large, complex, multi-facility healthcare environment with the ability to collaborate and work with people at all levels

Desired Qualifications

  • Masters degree

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