Revenue Integrity Team Lead

North Florida Surgeons, P.A.•Jacksonville, FL

21h

About The Position

The Revenue Integrity Team Lead is the primary operational lead for Revenue Integrity activities and serves as a subject matter expert in charge capture, billing compliance, reimbursement optimization, and denial prevention. The role helps oversee daily workflows, mentor team members, coordinate projects, and ensure revenue integrity processes are completed efficiently and accurately. The Team Lead coordinates work assignments and priorities, supports Revenue Integrity Specialists, monitors productivity and quality, and escalates complex issues to management. The role also leads projects and process improvements; reviews revenue leakage and recovery opportunities; monitors charge reconciliation; and identifies trends that affect reimbursement and financial performance. The position conducts complex audits of charge capture, documentation integrity, coding compliance, and billing accuracy; reviews findings and implements corrective action plans; and ensures compliance with regulatory requirements and payer contracts. It also develops and analyzes advanced reports on denials, charge lag, underpayments, edit work queues, revenue leakage, and productivity, presenting findings to leadership and operational stakeholders. Additional responsibilities include mentoring specialists, facilitating provider and staff education, developing training programs, assisting with onboarding, collaborating with coding, revenue cycle, managed care, compliance, clinical operations, and information systems teams, and participating in organizational committees and revenue cycle initiatives.

Requirements

5–7 years of progressive revenue cycle experience.
2+ years of revenue integrity, coding, auditing, or reimbursement experience.
Expert understanding of healthcare reimbursement methodologies.
Strong leadership and coaching skills.
Advanced data analysis and reporting capabilities.
Ability to lead projects and process improvement initiatives.
Strong presentation and facilitation skills.

Nice To Haves

Bachelor's degree in Healthcare Administration, Business, Finance, Nursing, or a related field preferred.
Leadership or supervisory experience preferred.
Preferred certifications: CPC, CPMA, RHIA, RHIT, CHRI, or CCS-P.

Responsibilities

Coordinate daily work assignments and departmental priorities.
Serve as a resource for Revenue Integrity Specialists.
Assist in monitoring productivity and quality standards.
Escalate complex issues to management as necessary.
Lead departmental projects and process improvement initiatives.
Review revenue leakage opportunities and recovery efforts.
Monitor charge reconciliation activities.
Identify trends affecting reimbursement and financial performance.
Evaluate operational workflows and recommend improvements.
Conduct complex audits involving charge capture, documentation integrity, coding compliance, and billing accuracy.
Review audit findings and implement corrective action plans.
Ensure compliance with regulatory requirements and payer contracts.
Create and maintain advanced revenue integrity reports.
Analyze denials, charge lag, underpayments, edit work queues, revenue leakage, and productivity metrics.
Present findings to leadership and operational stakeholders.
Mentor Revenue Integrity Specialists.
Facilitate provider and staff educational sessions.
Develop departmental training programs.
Assist with onboarding new employees.
Partner with coding leadership, Revenue Cycle leaders, Managed Care, Compliance, Clinical Operations, and Information Systems.
Participate in organizational committees and revenue cycle initiatives.