Dir Revenue Integrity

Director of Revenue Integrity

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location : 680 Lake Shore Drive

Job Description

General Summary of Position Responsibility :

The Director of Revenue Integrity is accountable for ensuring complete and accurate revenue capture for Lurie Children's Hospital and Lurie Children's Medical Group. This highly visible leadership role oversees the integrity of hospital and professional billing, charge capture, pricing, and regulatory compliance while maximizing revenue efficiency and safeguarding patient trust and organizational reputation. The Director serves as a critical connector between revenue cycle, clinical, financial, and operational teamsdriving initiatives to prevent revenue leakage, enhance reimbursement accuracy, and foster a culture of transparency, collaboration and continuous improvement. Success is measured by measurable improvements in net revenue, reduction of missed or delayed charges, audit outcomes, and compliance with payer and regulatory requirements.

Essential Job Functions

Area Specific Job Accountabilities :

• Charge Capture Enterprise :
• Lead design, implementation, and ongoing optimization of charge capture processes for hospital and physician services.
• Leverage Epic and related systems to automate, monitor, and reconcile charge workflows.
• Develop and maintain policies ensuring timely, accurate, and complete charge posting.
• Revenue Optimization :
• Conduct routine and targeted audits to identify inappropriate or missed revenue documentation and / or compliance risks.
• Partner with clinical, coding, and IT teams to reduce late, inaccurate, or missed charges and implement new revenue opportunities.
• Analyze denials, underpayments, and trends to recommend and implement corrective actions.
• Pricing & Strategic Rate Setting :
• Oversee and update Charge Description Master (CDM), CPT / HCPCS code usage, and fee schedules.
• Collaborate on benchmarking pricing against local and national markets to ensure rates are reasonable, competitive, equitable, and compliant.
• Actively contribute to financial modeling and scenario analysis to guide pricing and payer contract decisions, balancing growth and compliance.
• Regulatory Compliance & Education :
• Ensure ongoing compliance with federal and state regulations (CMS, OIG, Medicaid / Medicare, and commercial payers).
• Collaborate with Compliance and Legal to address risk areas, oversee audit responses, and manage corrective actions.
• Collaborate with appropriate organizational stakeholders to educate department leaders and staff on charge capture, coding updates, and documentation requirements.
• Partner with Finance, Managed Care, and operational leaders to develop robust billing and reimbursement projections for new service lines and / or care delivery models.
• Collaboration & Leadership :
• Lead multidisciplinary Revenue Integrity and Pricing committees.
• Partner with IM, Managed Care, Finance, Clinical Operations, and Compliance to drive revenue cycle initiatives.
• Mentor and develop a high-performing team; foster a culture of accountability, innovation, and patient-centered service.
• Demonstrate and promote Lurie Children's core valuesintegrity, equity, and discoverywhile fostering a culture of accountability, inclusion, and continuous improvement.

Knowledge, Skills and Abilities

Pay Range

$110,240.00-$181,896.00 Salary

At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes :

There's a Place for You with Us

At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpointsrecognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email : candidatesupport@luriechildrens.org