Manager of Revenue Integrity

Job Title : Manager of Revenue Integrity

Location : (Venice Metro area of Florida)

Department : Revenue Cycle Management

Job Type : Full-Time | Leadership | Healthcare Administration

Job Summary :

We are seeking a highly motivated and experienced Manager of Revenue Integrity to lead and oversee the daily operations of our Revenue Integrity Department. This position is responsible for driving compliance, optimizing revenue cycle processes, and ensuring accurate and efficient charge capture and reimbursement practices. The ideal candidate will bring strong leadership skills and a deep understanding of healthcare revenue cycle management.

In this leadership role, you will set the tone for departmental culture, foster collaboration, and guide your team to meet organizational goals related to financial performance, compliance, and operational excellence.

Key Responsibilities :

• Provide strategic oversight and daily management of the Revenue Integrity team.
• Lead initiatives to ensure accurate coding, charge capture, and billing practices.
• Monitor and improve processes related to reimbursement, denials management, coverage determinations, and audit compliance.
• Collaborate with case management, billing, coding, and finance departments to support revenue integrity goals.
• Utilize data and reporting tools to identify trends, monitor KPIs, and drive performance improvements.
• Model effective leadership behaviors and promote a positive, team-oriented work environment.

Required Qualifications :

• Bachelor's degree in a related field (Nursing preferred).
• Minimum of 3 years of experience in HB revenue cycle management, including areas such as reimbursement, coding, denials management, case management, billing / accounts receivable, and auditing.
• At least 2 years of experience in a supervisory or leadership role within healthcare revenue operations.

Preferred Qualifications :

• Coding Certification. One or more of the following. CPC, CCS, CPMA or CRCR
• Demonstrated leadership and team management experience.
• Proficiency in problem-solving, decision-making, and strategic planning.
• Strong knowledge of Medicare, Medicaid, and third-party payer billing regulations, including Medicare OPPS reimbursement and coverage determinations.
• Experience with healthcare information systems and generating analytical reports.