System Director, Revenue Integrity

Position Highlights:

• Position: System Director, Revenue Integrity
• Location: Skokie
• Full Time
• Hours: 40 hours

What you will do:

• Responsible for operational management and administration of fiscal matters pertaining to revenue integrity
• Leads and develops the Regional Revenue Integrity teams, including hiring, training, goal setting, and performance reviews of direct reports.
• Ensures adherence to applicable governmental and payer regulations through clinical documentation audits
• Directs charge capture, charge reconciliation and other reimbursement matters for hospital service lines across 3 instances of Epic
• Participates in planning revenue integrity alignment efforts in preparation for the move to a single Epic instance
• Directs the education, auditing, monitoring and support of revenue functions
• Provides support and direction for charge integrity audits, claims processing denials, and compliance monitoring
• Proactively identifies opportunities for charge integrity and stability in revenue with service line leaders across the health system
• Performs reporting and analysis of revenue related data and supports revenue related process improvement
• Partners with health system clinical, operational and information technology leaders to develop, implement and maintain strategies and tools to prevent revenue leakage and ensure consistent business operations
• Partners with compliance to support audit related recommendations and denials mitigation
• Provides expertise as it relates to billing compliance for new and existing services, while maintaining compliance with organizational, federal, state and third party requirements
• Optimizes revenue by performing appropriate reviews, investigating trends and patterns, and providing education regarding charge capture, charge reconciliation and billing guidelines
• Monitors adherence to best practice operations and process flows, recommends changes as necessary, and sees them through implementation

What you will need:

• Education:
  • Bachelor's degree in nursing, business administration, finance, or related field; master's degree in business, health administration or related field
• Experience:
  • Approximately ten (10) years of progressive experience in revenue cycle management
  • 5 years of leadership experience in patient finance, hospital or professional coding and/or revenue cycle consulting in a managerial position required, with prior experience in hospital revenue integrity preferred
• Certification:
  • RN, BSN, CIC, CCS, CPC designations are highly desirable; certification in auditing and/or health care compliance preferred

Benefits:

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options, including Domestic Partner Coverage
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities
• Visa Sponsorship Available (Nursing and Lab roles)

Benefits:

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit .

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website () to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.