Revenue Integrity Program Manager
About The Position
The Revenue Integrity Program Manager is a strategic leader responsible for optimizing professional revenue through CDM maintenance, contracting and pricing strategy, coding education, clinical documentation audits, and payor enrollment. With strong analytical and communication skills, the Program Manager drives education, reporting, and productivity reviews that support financial sustainability and operational excellence. This position will routinely work in cross-functional collaboration, with patient access, billing office, clinical departments, compliance, and analytics teams this position will ensure accurate billing, regulatory adherence, and continuous improvement.
Requirements
- Bachelor's degree in a related field from an accredited college or university (or equivalent combination of education/experience).
- 2+ years of supervisory experience.
- 5+ years of progressively responsible work experience in revenue cycle operations.
- Proficient in health care and professional revenue cycle operations.
- Expert in revenue data analysis and reporting.
- Knowledge of coding conventions and third-party payer rules.
- Experience with Epic Care, Epic Resolute, and related interfaces.
- Strong interpersonal and communication skills.
- Ability to influence decision-making through data-supported insights.
- Critical thinking and problem-solving abilities.
- Ability to facilitate stakeholder meetings and manage multiple priorities.
Nice To Haves
- COC, CPC-H, CCS, CPC, CCSP, RHIT, or RHIA certification preferred.
- HIV experience in a not-for-profit environment.
Responsibilities
- Manage contracting and pricing strategy for all Vivent Health clinical locations.
- Provide oversight to payor enrollment team ensuring timely enrollment.
- Conduct prospective and retrospective clinical documentation audits of charge capture practices and report findings.
- Provide education to providers and charge capture support staff which includes CPT, HCPCS, revenue codes, and modifiers by payor and region.
- Coordinate charge capture improvement tools
- Evaluate and maintain the system Charge Description Master (CDM) for compliance and consistency.
- Lead projects to improve revenue capture and reduce provider burden.
- Identify and resolve charging issues using EPIC work queues and external platforms.
- Provide ongoing reporting and presentations to clinical and executive leadership.
- Facilitate Revenue Integrity meetings.
Benefits
- Generous paid time off, including 12 paid holidays
- 401k with 100% employer match up to 5%
- 12 weeks of fully paid parental leave
- Employer subsidized medical, dental, vision benefits
- Gender-affirming care benefits
- Employer paid short and long-term disability
- Tuition reimbursement
- Certification, and licensure assistance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
251-500 employees
