Sys VP Revenue Cycle Revenue Integrity

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 160,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $5 billion annually in charity care, community benefits, and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Learn more at commonspirit.org.

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RCM26

As our System Vice President Revenue Cycle Revenue Integrity, you will spearhead the strategic oversight and optimization of all revenue integrity functions across our organization. This includes critical areas like charge capture, Charge Description Master (CDM) management, strategic pricing, and comprehensive revenue integrity compliance. You will be the architect behind processes that protect and maximize revenue, minimize regulatory risks, and ensure the long-term financial health of CommonSpirit.

Every day you will collaborate dynamically with key stakeholders across revenue cycle operations, finance, compliance, clinical leadership, and IT to seamlessly integrate revenue integrity practices. You'll establish and uphold industry best practices for charging, reconciliation, and auditing, while also managing vendor performance related to revenue integrity. Your expertise will be crucial in responding to third-party audits and ensuring a consistent, compliant, and timely approach to revenue management across diverse service lines and care settings.

To be successful in this role, you will possess a profound understanding of healthcare revenue cycle management, regulatory compliance, and financial stewardship. You'll bring a proven track record in establishing robust charge capture methodologies, CDM governance, and strategic pricing strategies. Your ability to drive interdepartmental alignment, implement effective risk mitigation strategies, and champion revenue integrity best practices will be paramount for optimizing financial performance in a complex healthcare environment.

Responsibilities

• Lead and direct all revenue integrity functions, including charge capture, CDM management, strategic pricing, and compliance, establishing strategic priorities and operating models.
• Develop and enforce standards for accurate, compliant, and timely charging practices to protect revenue, mitigate risk, and ensure sustainable financial performance.
• Oversee comprehensive charge capture and reconciliation processes across hospital and professional billing to ensure complete and accurate charging.
• Manage CDM maintenance and strategic pricing, ensuring alignment with reimbursement methodologies, regulatory guidance, and organizational pricing objectives.
• Direct all charge audit and compliance activities, including risk identification, monitoring findings, coordinating corrective actions, and managing third-party audit responses.
• Collaborate with various departments (operations, finance, clinical, IT) and vendors to integrate revenue integrity practices, foster accountability, and communicate key insights to leadership.

Required

• Bachelors degree
• 10+ years demonstrated experience in the understanding and management of healthcare revenue cycle
• 12+ years in the healthcare industry with proven experience in a large, complex, multi-facility healthcare environment with the ability to collaborate and work with people at all levels  

Preferred

• Masters degree