Revenue Integrity Manager - Rock Dental Brands

Key Responsibilities

• Identify revenue leakage trends across dental, ortho, pediatric and oral surgery operations.
• Perform root-cause analysis on denials, underpayments, write-offs and adjustments, aging and reimbursement variances.
• Improve charge capture, claims accuracy and reimbursement outcomes.
• Monitor payment behavior, denial trends and reimbursement patterns.
• Audit coding, claim submission, documentation and payer edits.
• Partner with Operations and RCM leaders to standardize workflows.
• Participate in vendor governance and payer performance reviews.
• Support audit readiness and compliance initiatives.
• Monitor contract and credentialing issues with auditing.
• Monitor patient credit populations.

Qualifications

• Required: 5+ years of healthcare revenue cycle, revenue integrity, reimbursement, coding or denials-management experience.
• Experience in multi-site healthcare, dental or DSO environments.
• Strong knowledge of: Claims lifecycle, Reimbursement, Denials, AR Workflows, Advanced reporting skills, KPI development and operational analytics experience.
• Strong communication skills and cross-functional collaboration skills.

Preferred Experience

• Dental, Orthodontic, Oral Surgery or Pediatric dental experience.
• Tableau or BI/reporting platform experience.
• CPC, CPMA, RHIA, RHIT or related certifications preferred.