Dir Revenue Integrity

Description

Dir Revenue Integrity

UCHlth Admin Lowry, US:CO:Denver, UCHlth Revenue Integrity

Pay: $144,872 - $231,795 / year. Pay is dependent on applicant's relevant experience

This position is based in Colorado and aligned to the Lowry administrative campus. Hybrid or remote work may be considered for the right candidate based on business needs and location.

The Director of Revenue Integrity provides strategic and operational leadership for system-wide charge description master (CDM) management, pricing governance, and charge capture practices. This role ensures compliant,accurate, and transparent charging and billing processes across all care settings, while partnering with clinical, operational, and financial leaders to support revenue integrity, regulatory compliance, and performance optimization.

Key Responsibilities

The Revenue Integrity Director plays a key role in the health system's strategic and operational efforts by:

• Develops and implements departmental goals, plans, and standards consistent with the administrative, legal, and ethical requirements/objectives of the organization. Establishes system standards for charge capture, pricing and CDM governance.
• Develops and monitors KPIs related to charge capture timeliness, accuracy, and revenue performance. Leads the evaluation of pricing strategies to support transparency, competitiveness and compliance. Collaborates with finance and managed care teams to assess reimbursement impacts and model pricing scenarios.
• Leads the evaluation of pricing strategies to support transparency, competitiveness and compliance. Collaborates with finance and managed care teams to assess reimbursement impacts and model pricing scenarios.
• Partners with clinical, operational and financial leaders to strengthen revenue integrity practices across all care settings
  
  

Candidate Qualifications

The successful candidate will meet the following requirements:

• Bachelor's degree in a related field required; Master's degree in a related field preferred(e.g., Healthcare Administration, Business Administration, Finance, Health Information Management).
• Five (5) years of progressive experience in CDM (Charge Description Master) management, revenue integrity, or a closely related healthcare finance function, including demonstrated people management or team leadership experience.
  
  

Skills and Traits

• Knowledge of charge capture workflows, clinical documentation, coding principles, and billing
• Familiarity with CMS regulations and payer reimbursement
• Strong command of data analytics, including revenue analysis, trend/variance identification, and root-cause investigation
• Proficiency with Epic EHR, reporting and analytic tools, and financial modeling
• Skilled communicator who can drive alignment across diverse stakeholders and deliver tangible, reliable outcomes on projects/programs
• Experience leading large scale process improvements and technology implementations
• Ability to coach teams, build capability and foster a culture of excellence and accountability
• Resilience and adaptability in a fast-changing healthcare landscape
• Ideal candidate would demonstrate proficiency in operational execution and strategic planning
  
  

At UCHealth, We Improve Lives

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *

Recognition

• Performance bonus: UCHealth offers an Annual Performance Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, and financial goals.
• Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
  
  

Health and well-being

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free Care.com membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
• New employees receive an initial PTO load with first paycheck.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.
  

Retirement and savings

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.
  
  

Education and career growth

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
• Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
• Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
• Eligibility for some programs is based on an employee's scheduled work hours.
  

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.

Who We Are (uchealth.org)