Sr Director, Rev Integrity

Job Description

Summary

The Senior Director, Revenue Integrity is responsible for developing and executing the strategic vision for The Guthrie Clinic and revenue integrity program. The Senior Director is responsible for the oversight of the standard workflows / processes that impact the Revenue Integrity functions : chargemaster, Federal, State & managed care contract rule development and charge capture and reconciliation interacting with providers and business owners. Also responsible for key components of monthly AR valuation and corporate revenue cycle forecast preparation, reporting, and updating. Works closely with RAC and Finance leadership to prepare and analyze forecast and actual expense data to support leadership.

This role serves as the Revenue Cycle Revenue Integrity leader for The Guthrie Clinic to internal and external organizations, including government agencies, payor organizations, vendors, external auditors, and business partners.

Education, License, & Cert

• Bachelor's degree from a recognized college or university or 7-10 years-experience senior level revenue cycle leadership in lieu of degree

Experience

REQUIRED QUALIFICATIONS

PREFERRED QUALIFICATIONS :

Essential Functions

1. Work with VP, Corporate Revenue Cycle to develop and execute the enterprise-wide revenue integrity strategy aligned with organizational goals.

2. Lead cross-functional initiatives to improve charge capture accuracy, reduce revenue leakage, and enhance operational efficiency

3. Oversee configuration and optimization of Epic modules related to charge capture, proration, and billing workflows.

4. Oversee the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record System (EPIC HB) for Federal, State, and Commercial plans following the build approval process.

5. Collaborate with IT and clinical informatics to ensure Epic supports compliant and efficient revenue processes.

6. Ensure accurate and timely charge capture across all service line. Lead initiatives to automate and streamline proration logic and workflows within Epic.

7. Direct the maintenance and integrity of the chargemaster, ensuring alignment with coding, billing, and reimbursement guidelines.

8. Partner with finance and compliance to ensure pricing transparency and regulatory adherence.

9. Serve as a liaison between revenue cycle and clinical departments to educate and support providers on documentation and charge capture best practices.

10. Facilitate regular meetings with clinical business owners to review performance metr ics and identify improvement opportunities.

Other Duties

Upload 9-22-25