Director, Transformation Services – Revenue Integrity

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients




• Manage project plans, deadlines, and on-time deliverables




• Prepare reports, presentations, and documentation to monitor and communicate initiative effectiveness




• Improve tracking tools and develop KPIs and metrics to identify operational performance improvement opportunities




• Serve as a Revenue Integrity subject matter expert for clients and team members




• Collaborate with colleagues and client counterparts to address business challenges and adapt implementation methodologies




• Monitor analytics and report trends in denials and procedural problems




• Develop scalable transition plans to sustain improvements




• Assist in developing and improving revenue cycle assessment and implementation methodologies




• Evaluate current‑state operations and create transition blueprints toward the desired future state




• Establish measurable goals and priorities aligned with organizational objectives




• Perform audits, consolidations, and standardizations of Charge Data Masters and Revenue Integrity workflows




• Improve charge capture accuracy through workflow assessments, coding reviews, process improvements, and report generation




• Use, protect, and disclose patients' protected health information in accordance with HIPAA




• Comply with Information Security and HIPAA policies and procedures




• Limit viewing of protected health information to the minimum necessary

Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred




• 7+ years of proven experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing




• 7+ years of healthcare consulting experience




• Proven success leading large-scale Revenue Integrity strategic development and implementations




• Full understanding of charge capture and charge reconciliation processes, including electronic health record charge links to the CDM and charge capture processes




• Professional certifications such as CPAM or CRCP, or demonstrated progress toward such certifications, a plus




• Advanced Excel proficiency and experience in financial modeling and analysis




• Advanced Microsoft PowerPoint and Word skills




• Experience with SQL, SPSS, Power BI, benchmarking, and MGMA survey data a plus




• Project leadership and workplan management experience for opportunity assessments within a consulting firm setting, focused on middle revenue cycle areas




• Knowledge of state and federal governmental, legal, and regulatory provisions related to middle revenue cycle operations




• Exceptional communication and interpersonal skills




• Strong analytical and problem-solving abilities with a data-driven approach




• Ability to adapt to a fast‑paced, changing environment and manage multiple priorities and deadlines




• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

Core Competencies

Demonstrates expertise in Revenue Integrity and healthcare operations, with a strong focus on charge capture processes, revenue cycle management, and compliance with HIPAA regulations. Proven ability to lead transformation initiatives, develop KPIs, and implement effective project management strategies.

Highest-signal resume keywords

• Revenue Cycle Management




• Charge Capture Processes




• Healthcare Consulting Experience




• Advanced Excel Proficiency




• Project Leadership

ATS Optimization Keywords

Hard Skills

• Revenue Integrity




• Financial Modeling




• Data Analysis




• Charge Reconciliation




• Workflow Assessment




• Coding Review




• KPI Development




• Operational Performance Improvement




• Audit and Consolidation




• Transition Planning

Soft Skills

• Exceptional Communication




• Interpersonal Skills




• Analytical Abilities




• Problem-Solving




• Adaptability

Certifications & Qualifications

• CPAM




• CRCP

Industry Keywords

• Healthcare Operations




• Revenue Integrity




• Patient Accounting




• Physician Billing




• Middle Revenue Cycle




• HIPAA Compliance




• Regulatory Provisions

Tools & Technologies

• SQL




• SPSS




• Power BI




• Microsoft Excel




• Microsoft PowerPoint




• Charge Data Master




• Electronic Health Record