Manager, Revenue Integrity

Endeavor Health • Skokie, IL

2d • $48 - $74 • Onsite

About The Position

The Manager of Revenue Integrity oversees the hospital's revenue integrity operations, ensuring charges and claims are accurate, compliant with regulations, and optimized for revenue capture. The role leads the revenue integrity team and works with clinical, billing, documentation improvement, audit, and compliance partners to maintain financial accuracy and regulatory compliance. It also analyzes revenue performance, supports department budgeting, and provides training and recommendations to hospital leadership.

Requirements

• Bachelor's degree in Health Administration, Business Administration, or Management.
• At least 5 years of revenue cycle or revenue integrity management experience in a healthcare setting.
• At least 2 years of experience in a leadership role.

Nice To Haves

• Master's degree in Health Administration, Business Administration, or Management.

Responsibilities

• Provide leadership and supervision to revenue integrity staff, including charge capture, charge reconciliation, and clinical documentation improvement (CDI) staff.
• Oversee and optimize charge capture processes so services and procedures are accurately documented and billed.
• Monitor and reconcile charges to reduce revenue leakage, partnering with clinical and billing departments.
• Collaborate with CDI staff to ensure clinical documentation is comprehensive, accurate, and supports services provided.
• Analyze revenue data, identify trends and opportunities for improvement, and recommend ways to enhance revenue capture and integrity.
• Ensure revenue integrity practices comply with applicable federal, state, and local healthcare regulations, billing standards, and documentation guidelines.
• Generate and review financial reports on revenue integrity performance and provide insights and recommendations to hospital leadership.
• Train revenue integrity staff and provide ongoing education on best practices, regulatory changes, and compliance standards.
• Collaborate with auditors and compliance teams on financial audits, responding to inquiries and providing documentation.
• Assist in developing and managing the revenue integrity department budget.

Benefits

• Eligibility for the Annual Incentive Plan for eligible positions.
• Premium pay, such as shift, on-call, or holiday pay, for eligible positions.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Career pathways to promote professional growth and development.
• Medical, dental, pet, and vision plan options.
• Tuition reimbursement.
• Free parking.
• Wellness Program Savings Plan.
• Health Savings Account options.
• Retirement options with company match.
• Paid time off and holiday pay.
• Community involvement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager