Integrity Manager

Brightli • Springfield, MO

5d • Onsite

About The Position

Are you passionate about driving compliance excellence while supporting an organization dedicated to improving the lives of others? As an Integrity Manager, you will have the opportunity to lead a high-performing team, influence organizational integrity initiatives, make a meaningful impact on regulatory compliance, collaborate with leaders across multiple departments, and help strengthen services that support individuals and communities. We are seeking a detail-oriented, analytical, and collaborative leader who thrives in a mission-driven environment and is committed to maintaining the highest standards of integrity, accountability, and quality. The Integrity Manager oversees Compliance Integrity Specialists and leads proactive fraud, waste, and abuse monitoring activities across assigned markets. This role is responsible for ensuring the accuracy, consistency, and effectiveness of compliance audits, billing investigations, and documentation reviews. The Integrity Manager serves as a subject matter expert in healthcare billing, coding, documentation, and reimbursement regulations while partnering with operational, clinical, and compliance leaders to identify risks, implement corrective actions, and promote a culture of compliance throughout the organization.

Requirements

• Associate's degree in Health Information Management required.
• RHIA or RHIT certification required.
• Minimum of 3 to 5 years of experience in healthcare compliance, auditing, coding, or billing required.
• Prior supervisory or management experience required.
• Advanced knowledge of federal and state healthcare billing, coding, documentation, and reimbursement regulations.
• Strong understanding of ICD-10, CPT, and HCPCS coding guidelines.
• Ability to interpret complex regulations and apply them to audit and compliance activities.
• Demonstrated leadership and people management skills.
• Strong analytical, critical thinking, and problem-solving abilities.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities while meeting deadlines.
• High level of professionalism with the ability to maintain confidentiality.
• Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check.
• Current driver's license, acceptable driving record, and current auto insurance required.

Nice To Haves

• Bachelor's degree in Health Information Management preferred.
• CCS and/or CPC certification preferred.
• Behavioral health experience preferred.

Responsibilities

• Lead and support a team of Compliance Integrity Specialists to ensure quality audit performance and timely completion of investigations.
• Collaborate with compliance, privacy, clinical, and operational leaders to strengthen compliance efforts across assigned markets.
• Identify compliance trends, systemic risks, and recurring issues and recommend effective corrective actions.
• Provide expert guidance on healthcare billing, coding, documentation, reimbursement, and regulatory requirements.
• Review and validate audit methodologies, findings, and conclusions to ensure accuracy, consistency, and meaningful outcomes.
• Develop, maintain, and improve audit tools, standards, policies, procedures, and compliance processes.
• Mentor, train, and support team members while fostering professional growth and performance excellence.
• Review reports and communications to ensure audit findings are clearly understood and effectively communicated.
• Monitor regulatory changes and update audit practices to maintain compliance with current requirements.
• Prepare and present audit summaries, trends, recommendations, and compliance updates to leadership.
• Provide coverage and support for other integrity leadership roles as needed.
• Perform additional compliance and integrity-related duties as assigned.

Benefits

• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Mileage Reimbursement – Company paid for work functions requiring travel
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition
• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree