Director, Epic Applications - Revenue Integrity

Core Responsibilities:* Supervises the performance management of all assigned staff including making decisions as they pertain to hiring, training, evaluation, promotion, and termination.* Manages daily operations and directs staff to achieve departmental goals and objectives.* Assumes responsibility for campus-wide initiatives involving computer support services.* Develops, promotes, and maintains standards as they relate to technical support services and devices, including manufacturing and architectural standards.* Designs improved work systems by revising work standards, policies, and procedures.* Directs and manages project plan development, risk assessment, communications, budget tracking, status reporting, vendor management, and successful project completion.* Monitors project prioritization, active projects, and the development of dashboard and reporting mechanisms.* Assumes responsibility for enterprise-wide IT projects and ensures an efficient and timely conclusion.* Contributes to the strategic plan and assists in providing short- and long-term solutions to help meet campus-wide strategic and tactical planning initiatives.* Communicates with administration and staff regarding the efficient and timely delivery of services.* Performs follow-up investigations on inquiries, complaints, and problems.* Assists in the determination of critical milestones.* Establishes departmental goals and objectives, identifies areas of improvement, and implements action plans to meet these. Seeks ways to improve operations and oversees the preparation of productivity reports.* Attends professional meetings, workshops, conferences, and seminars to keep abreast of technological market advancements.* Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.Department Specific Functions:The Director of Revenue Integrity Systems is responsible for leading the strategic oversight, development, and optimization of systems and processes that ensure accurate, compliant, and efficient revenue capture across the organization. This role bridges clinical, financial, and IT domains to safeguard revenue integrity through data-driven insights, system enhancements, and cross-functional collaboration.The Director plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, including impact analysis on all charge, revenue, and CPT code changes, and financial modeling to drive revenue improvement. The director must proactively identify organizational needs and design innovative solutions using expert technical and industry knowledge. Staying current with industry trends and emerging technologies is essential to support strategic goals.Support accurate documentation and coding practices through system design and education.**CORE QUALIFICATIONS:*** Bachelor's degree from an accredited college or university in relevant field Master's degree preferred* Certification in Revenue Integrity required (e.g., CRCR, CHRI, CPC, CPMA).* Epic Resolute – Certification or Proficiency required* Minimum 7 years of relevant experience; 5+ years of progressive experience in revenue cycle management, with at least 3 years in a leadership role.* Deep understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies.* Experience with major EHR and revenue cycle platforms (e.g., Epic, Cerner) preferred.* Strong knowledge of CMS regulations, payer rules, and compliance standards preferred.* Knowledge of business and management principles.* Ability to direct, manage, implement, and evaluate department operations.* Ability to establish department goals, and objectives that support the strategic plan.* Ability to effectively plan, delegate and/or supervise the work of others.* Ability to lead, motivate, develop, and train others.* Familiar with state-of-the-art, industry-specific technology and solutions* Ability to proactively identify needs within the organization and, using expert technical and industry knowledge, design and build new solutions in support of organizational goals* Demonstrated knowledge project management and change control* Expert knowledge of supported industry and operations* Proficiency with Microsoft Office Suite programs, Excel (pivot tables), Visio, Project, PowerPoint, Word.* Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology.* Ability to communicate ideas and problem solutions* Ability to effectively work with people in other departments and/or outside of the enterprise.* Excellent interpersonal skills* Outstanding oral and written communication skills*This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.****This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.***#LI-AS1The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit to learn more about our points of pride.The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.**Transforming lives**With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service. #J-18808-Ljbffr

Created: 2025-09-18