What are the responsibilities and job description for the Revenue Integrity Director position at Southeast Georgia Health System?
Interested in working for the Golden Isles’ healthcare provider and employer of choice?
Southeast Georgia Health System is a not-for-profit healthcare organization dedicated to serving residents and visitors across the Golden Isles and surrounding areas since 1888. Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything together: A team of committed professionals like you. These individuals appreciate the value of every person who walks through our doors and are the key to our culture of Service Excellence.
Role Description
The Revenue Integrity Director role serves as the strategic and operational bridge between clinical operations, finance, IT, coding, billing, contracting, and compliance. The Director leads proactive "fix and find" initiatives to prevent revenue leakage, reduce denials, improve audit readiness, and establish a durable governance over pricing, charge capture, billing, payments, and payer performance.
Essential Responsibilities
- Design and lead the Revenue Integrity strategy, governance model, and multi-year roadmap
- Establish policies, controls, and accountability across all Revenue Integrity pillars
- Own enterprise CDM governance, maintenance, and pricing methodology
- Ensure alignment between CDM build, clinical workflows, and regulatory requirements
- Oversee charge capture accuracy across hospital, professional, ASC, ancillary, pharmacy, and supplies
- Lead charge reconciliation processes (schedule-encounter-charge-claim)
- Reduce preventable claim errors, rejections, and denials
- Partner with Coding, HIM, and Billing to enforce payer rules, modifiers and documentation standards
- Ensure accurate posting of payments, adjustments, and patient responsibility
- Develop KPI's, dashboards, and executive reporting for leadership
Education & Experience Qualifications
- Bachelor's degree in finance, healthcare administration, business, or related field required
- 8-10 years of progressive experience in Revenue Integrity, Revenue Cycle, or healthcare finance required.
- Proven experience with leading cross-functional initiatives and teams required.
- Experience with Chargemasters, Cerner, Epic, Meditech, or similar EHRs preferred.
- Proven ability to coach and train service line leadership in revenue cycle practices.
Why choose Southeast Georgia Health System?
Join a team driven by purpose. Our mission is to advance the health and well-being of our community, and every role at Southeast Georgia Health System directly contributes to that impact. We strive to be the trusted partner for health care in our community, and we're looking for people who are passionate about making a meaningful difference. What guides us every day are our core values of compassion, excellence, ownership, integrity, and teamwork. We offer competitive salaries and a comprehensive benefits package including generous PTO, tuition reimbursement, retirement plans, wellness programs, and more.