Revenue Cycle Managed Services - Revenue Integrity Lead

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Revenue Cycle Managed Services – Revenue Integrity Lead based in the United States. The Revenue Integrity Lead will drive healthcare revenue optimization initiatives, helping hospitals, health systems, and physician groups improve financial performance while maintaining regulatory compliance. This role combines deep expertise in revenue cycle management, strategic consulting, and data analytics to identify revenue leakage, strengthen charge capture, and improve reimbursement accuracy. You will lead complex client engagements, assess operational workflows, and develop actionable strategies that enhance revenue recovery and reduce claim denials. Working closely with healthcare executives and multidisciplinary teams, you will translate financial and operational insights into measurable improvements. You will also guide technology optimization, compliance initiatives, and revenue cycle transformation projects across diverse healthcare environments. This fully remote opportunity offers the chance to influence strategic decisions, mentor professionals, and deliver meaningful financial and operational outcomes for healthcare organizations. Accountabilities: - Revenue integrity leadership: Lead and manage consulting engagements focused on revenue integrity, revenue optimization, charge capture, reimbursement accuracy, and revenue cycle transformation for hospitals, health systems, physician groups, and other healthcare providers. - Revenue cycle assessment: Conduct comprehensive evaluations of revenue cycle operations, billing practices, charge capture workflows, and reimbursement processes to identify performance gaps, financial risks, and opportunities for improvement. - Revenue optimization and recovery: Identify revenue leakage and lead initiatives to improve charge capture, enhance clinical documentation collaboration, reduce denials, increase billing accuracy, accelerate cash flow, and maximize appropriate reimbursement.

- Financial analysis and performance monitoring: Analyze charge master data, pricing methodologies, payer contract performance, reimbursement trends, claims, denials, and utilization data. Develop KPI dashboards, benchmarking frameworks, and monitoring strategies to track results. - Compliance and regulatory oversight: Evaluate charging and billing practices against Medicare, Medicaid, commercial payer requirements, and applicable regulations. Identify audit risks, recommend corrective actions, and support audit preparation, remediation, and revenue integrity governance. - Strategic consulting and client engagement: Serve as a trusted advisor to healthcare executives and operational leaders. Facilitate workshops, present findings, lead strategic planning sessions, and develop implementation roadmaps that align with client objectives. - Project management and delivery: Develop project plans, coordinate multidisciplinary teams, manage timelines, and ensure the successful delivery of revenue improvement and transformation initiatives. - Technology optimization: Recommend enhancements to electronic health records (EHRs), billing systems, and revenue cycle platforms to improve workflows, data quality, operational efficiency, and financial performance. - Team leadership and knowledge sharing: Mentor consultants, analysts, and other team members on revenue integrity best practices. Contribute to consulting methodologies, thought leadership, solution development, and business development activities, including proposals and client presentations. Requirements: - Industry-relevant certification in healthcare revenue integrity, such as Certified in Healthcare Revenue Integrity (CHRI) , Certified Revenue Integrity Professional (CRIP) , or an equivalent credential.