Dir Revenue Integrity

Ann & Robert H. Lurie Children's Hospital of Chicago•Chicago, IL

87d

About The Position

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. General Summary of Position Responsibility: The Director of Revenue Integrity is accountable for ensuring complete and accurate revenue capture for Lurie Children’s Hospital and Lurie Children’s Medical Group. This highly visible leadership role oversees the integrity of hospital and professional billing, charge capture, pricing, and regulatory compliance while maximizing revenue efficiency and safeguarding patient trust and organizational reputation. The Director serves as a critical connector between revenue cycle, clinical, financial, and operational teams—driving initiatives to prevent revenue leakage, enhance reimbursement accuracy, and foster a culture of transparency, collaboration and continuous improvement. Success is measured by measurable improvements in net revenue, reduction of missed or delayed charges, audit outcomes, and compliance with payer and regulatory requirements.

Requirements

Bachelor’s degree in business, Finance, Health Administration or related field required; Master’s or professional credential (e.g., CPA, MBA, MHA) preferred.
Certification in coding (RHIA, RHIT, CPC, CCS, or equivalent) required.
Strong knowledge of billing, coding (CPT, HCPCS, ICD-10), reimbursement methodologies, and regulations.
Minimum five (5) years progressive experience in revenue integrity or revenue cycle leadership in a complex healthcare environment; pediatric or academic medical center experience preferred.
Advanced proficiency with Epic and related EHR/RCM systems, experience with analytics/reporting tools valued.
Experience leveraging data analytics and reporting to drive insight, support revenue optimization, and inform executive decision-making.
Demonstrated proficiency with Microsoft Office Suite—including Teams and Visio—for collaboration, analysis, and process documentation.
Proven ability to lead change, cross-functional projects, and deliver measurable outcomes.
Exceptional analytical, communication, and presentation skills.

Responsibilities

Lead design, implementation, and ongoing optimization of charge capture processes for hospital and physician services.
Leverage Epic and related systems to automate, monitor, and reconcile charge workflows.
Develop and maintain policies ensuring timely, accurate, and complete charge posting.
Conduct routine and targeted audits to identify inappropriate or missed revenue documentation and/or compliance risks.
Partner with clinical, coding, and IT teams to reduce late, inaccurate, or missed charges and implement new revenue opportunities.
Analyze denials, underpayments, and trends to recommend and implement corrective actions.
Oversee and update Charge Description Master (CDM), CPT/HCPCS code usage, and fee schedules.
Collaborate on benchmarking pricing against local and national markets to ensure rates are reasonable, competitive, equitable, and compliant.
Actively contribute to financial modeling and scenario analysis to guide pricing and payer contract decisions, balancing growth and compliance.
Ensure ongoing compliance with federal and state regulations (CMS, OIG, Medicaid/Medicare, and commercial payers).
Collaborate with Compliance and Legal to address risk areas, oversee audit responses, and manage corrective actions.
Collaborate with appropriate organizational stakeholders to educate department leaders and staff on charge capture, coding updates, and documentation requirements.
Partner with Finance, Managed Care, and operational leaders to develop robust billing and reimbursement projections for new service lines and/or care delivery models.
Lead multidisciplinary Revenue Integrity and Pricing committees.
Partner with IM, Managed Care, Finance, Clinical Operations, and Compliance to drive revenue cycle initiatives.
Mentor and develop a high-performing team; foster a culture of accountability, innovation, and patient-centered service.
Demonstrate and promote Lurie Children’s core values—integrity, equity, and discovery—while fostering a culture of accountability, inclusion, and continuous improvement.

Benefits

Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program