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Stanford Health Care

Senior Director – Revenue Integrity

Stanford Health Care

. Develops organizational strategies for enterprise-wide hospitals and professional revenue integrity, including long-range plans and annual goals.

Posted 5/1/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $100 - $133 per hourWebsite

About the role

Key responsibilities & impact
  • Develops organizational strategies for enterprise-wide hospitals and professional revenue integrity, including long-range plans and annual goals.
  • Leads policy development for charging, charge capture, validation, charge reconciliation, CDM Governance and documentation integrity.
  • Oversees integration of revenue integrity operations across clinical departments, SOM leadership, Patient Financial Services, Office of Compliance & Privacy, HIM, and Coding.
  • Represents Revenue Integrity as a senior leader on enterprise committees, Steering Committees, Quality & Compliance groups, and major IT optimization programs.
  • Serves as a thought leader and change agent, driving innovation, automation, and best practice across the revenue integrity functions.
  • Ensures timely, accurate, and compliant completion of all charge capture, CDM maintenance, reconciliations, and revenue validation activities.
  • Designs and oversees comprehensive quality assurance programs for charging accuracy, documentation integrity, coding quality integration, and loss prevention.
  • Utilizes Lean, Six Sigma, and process improvement methodologies to optimize workflows and eliminate preventable revenue leakage.
  • Ensures the appropriate EPIC system configuration, workflow alignment, and adoption of technology enhancement opportunities.
  • Serves as the primary liaison for SHC revenue integrity matters to School of Medicine DFAs, Clinical Department Chairs, clinical leadership, and administrative partners.
  • Directs preparation of enterprise dashboards, KPIs, business reviews, and executive level reporting.
  • Educates hospital and professional revenue generating departments on charge capture requirements, compliance, and CDM practices.
  • Oversees governance of the hospital CDM and SOM professional fee schedule to ensure regulatory compliance and revenue accuracy.
  • Approves additions, deletions, and modifications stemming from new services, regulatory updates, payor requirements, and clinical changes.
  • Leads enterprise initiatives to mitigate late charges, preventable denials, claim edit failures, and avoidable under billing. Identifies meaningful revenue opportunities using analytics, benchmarking, and auditing.
  • Partners with IT, EPIC leadership, Revenue Cycle Optimization and digital innovation teams to enhance revenue impacting workflows.

Requirements

What you’ll need
  • Bachelor’s degree from an accredited college or university with a major in business administration, health care administration, or a related field
  • 10+ years of progressive leadership experience in hospital and/or professional revenue integrity, charge capture, CDM governance, HIM, Coding, or Revenue Cycle functions.
  • 5+ years EPIC experience (HB/PB billing, clinical documentation, charge capture technologies).
  • Experience working in an academic medical center.
  • Member in Healthcare Financial Management Association or the American Academy of Professional Coders or American Health Information Management Association Preferred

Benefits

Comp & perks
  • Health insurance
  • Retirement plans
  • Paid time off
  • Professional development
  • Flexible work arrangements

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
charge captureCDM governancecodingrevenue validationquality assuranceLeanSix Sigmaprocess improvementanalyticsauditing
Soft Skills
leadershipcommunicationstrategic planninginnovationchange managementcollaborationproblem-solvingeducationliaisonthought leadership
Certifications
Bachelor’s degreeHealthcare Financial Management Association memberAmerican Academy of Professional Coders memberAmerican Health Information Management Association member