Manager - Revenue Integrity

Job Description

To be responsible for the day-to-day operational oversight and execution of charge integrity functions, including charge capture, charge reconciliation, Charge Description Master (CDM) maintenance, and work queue management. This role ensures accurate, timely, and compliant charging practice across clinical departments to support optimal reimbursement and minimize revenue leakage. To support the development and enforcement of standardized CDM and revenue integrity processes, ensuring alignment with regulatory requirements, payer guidelines, and organizational policies. This includes maintaining CDM accuracy, supporting charge- related system workflows, and driving consistency across departments and service lines.

Responsibilities

• Work collaboratively with clinical operations, coding, compliance, finance, and patient financial services, to identify and resolve charge capture gaps, monitor charge accuracy and reconciliation performance, and implement process improvements to enhance revenue cycle outcomes.
• Maintain key performance indicators such as charge lag, work queue volumes, charge accuracy, evaluate revenue variance trends, coordinate internal and external audit readiness, and implement initiatives that enhance revenue cycle performance and financial outcomes.

Qualifications

• Bachelor's degree in Finance or Business Administration or related field with minimum five (5) years of progressive experience in revenue cycle operations within a healthcare environment, including direct experience in Revenue Integrity, charge capture, charge description master, and/or charge control functions.
• Relevant professional certifications, such as RHIA, RHIT, CPC, CCS, COC, CCS, CHC, or other coding credentials.

Benefits and Perks

• Robust educational assistance programs
• Generous paid time off
• Employee assistance and wellness programs
• Paid parental leave
• Qualifying employer for the Public Service Loan Forgiveness (PSLF) Program
• Plus more