Pay Rate: $65.73 - $109.77 per hour

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary

City of Hope is seeking an accomplished Director, Revenue Integrity to provide strategic and operational leadership for Revenue Integrity across our health system. In this highly visible role, you will oversee charge assurance, charge capture optimization, Charge Description Master governance, pre-claim revenue reconciliation, and revenue leakage prevention. You will partner with clinical, operational, finance, coding, compliance, patient accounting, and information technology leaders to strengthen reimbursement outcomes, improve performance, and reduce financial risk throughout the revenue cycle.

As a successful candidate, you will:

• Direct Revenue Integrity operations, including charge capture, reconciliation, audits, CDM maintenance, and revenue leakage prevention.
• Lead system-wide initiatives that improve charge accuracy, billing readiness, and revenue realization.
• Ensure timely implementation of charging, coding, reimbursement, and regulatory changes.
• Develop controls and monitoring tools for charge capture, late charges, and other revenue integrity processes.
• Oversee CDM governance, optimization, annual regulatory updates, pricing support, and compliance reviews.
• Partner with clinical departments to establish accurate charging and billing processes for new services, technologies, pharmaceuticals, and procedures.
• Monitor performance against key metrics and service expectations, identify trends, and implement corrective action plans.
• Lead, mentor, and develop Revenue Integrity managers, supervisors, and team members while supporting engagement, succession planning, and retention.
• Collaborate with executive and cross-functional leaders on revenue optimization opportunities, operational risks, compliance concerns, and technology solutions.
• Serve as a subject matter expert and organizational leader for enterprise revenue cycle optimization and compliance initiatives.

Your qualifications should include:

• Bachelor’s degree, or three additional years of relevant experience in addition to the minimum experience requirement in lieu of the degree.
• Seven or more years of hospital Revenue Integrity or Health Information Management experience.
• Five years of management experience.
• Strong clinical and/or clinical coding knowledge, with billing compliance experience desired.
• Technical knowledge of CPT and HCPCS coding principles, modifier selection, and UB-04 revenue codes.
• Experience conducting medical-record-to-bill reviews to validate charge capture accuracy.
• Ability to execute strategy and communicate business processes and enabling technologies.
• Experience with Epic and Craneware.
• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Health Information Management, Nursing, or a related field preferred.
• RN, CRCR, CCS, CCA, CPC, RHIT, or RHIA certification preferred; oncology revenue cycle experience is also preferred.

This is an opportunity to shape enterprise Revenue Integrity strategy, build high-performing teams, and help ensure City of Hope can continue delivering exceptional care to patients and families. If you are ready to bring your revenue cycle expertise to a mission-driven organization, apply today.

Additional Information:

Job Status: Full time, exempt

Salary range $136,697 - $228,300

City of Hope employees’ pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.