Manager, Revenue Integrity

Gundersen Health System; United States; À distance; USD 78 000 - 96 000; Plein temps

Avantages offerts par ce poste

Competitive Benefits

401k match

PTO

Professional Development

Wellness program

Discount programs

Résumé du poste

Emplify Health seeks an experienced Manager of Revenue Integrity to lead the day-to-day operations of the Revenue Integrity department. This leader will supervise a ~13-person team, drive regulatory compliance, and optimize Epic-based reporting to capture revenue accurately across all clinical service lines.

The role requires 5 years in revenue cycle, a healthcare-focused degree, and professional certification. Remote-eligible with potential travel within Wisconsin, Minnesota, and Iowa.

Qualifications

• Bachelor’s degree in healthcare administration, business, or related field.
• Certification from a recognized coding or health information organization (AAPC/AHIMA) is required.
• Expertise in revenue cycle operations including charge capture, billing, and denial management.

Responsabilités

• Direct daily revenue integrity workflows and ensure compliant operations.
• Establish and monitor KPIs; develop corrective action plans.
• Oversee internal audits per payer and regulatory requirements.
• Direct charge capture, chargemaster governance, and revenue recovery efforts.
• Lead onboarding of new service lines with billing structure design and policy validation.
• Collaborate with clinical, coding, and finance leaders to resolve issues.

Connaissances

Revenue cycle leadership

Epic reporting

Tableau

Power BI

SQL reporting

Excel

Communication

Formation

Bachelor’s degree in healthcare administration

Certification (AAPC/AHIMA)

Outils

Epic Reporting Workbench

Cogito

Tableau

Power BI

SQL-based reporting

Description du poste

Love + medicine is who we are, it’s what we do, it’s why people want to work here. If you’re looking for a job to love, apply today.

Scheduled Weekly Hours:

40

We’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.

Emplify Health is seeking an experienced and strategic Manager of Revenue Integrity to lead the day-to-day operations of our Revenue Integrity department. This leadership role is ideal for a revenue cycle professional who combines strong operational expertise with a passion for team development, compliance, and process improvement.

As the Manager of Revenue Integrity, you will serve a team of ~13 and will be respon** sible for staff performance, daily operations, workflow integrity, and execution of departmental initiatives. Reporting to the Director of Revenue Integrity, this role translates strategic priorities into operational excellence, directing charge capture processes, chargemaster governance, regulatory compliance, Epic system optimization, and cross-functional issue resolution. The Manager is the primary people leader for the team and is accountable for achieving departmental KPIs, developing staff capability, and ensuring that revenue is captured accurately, compliantly, and efficiently across all clinical service lines.**

Major Responsibilities Include:

• Direct and oversee daily operational workflows, work queues, and departmental processes to ensure timely, accurate, and compliant revenue integrity operations.
• Establish, monitor, and report on departmental KPIs aligned to revenue goals; develop corrective action plans and performance improvement initiatives in response to variances.
• Oversee the department’s internal audit program, ensuring the team conducts consistent, timely audits in compliance with payer and regulatory billing requirements.
• Direct charge capture operations, chargemaster governance, and revenue recovery efforts, including oversight of annual pricing reviews, code set updates, and charge ticket accuracy.
• Lead the new service line onboarding process, coordinating billing structure design, charge ticket development, payer policy validation, and compliance review prior to clinical go-live.
• Collaborate with clinical, coding, finance, and operational leaders to identify and resolve revenue cycle issues; serve as the department’s primary representative in cross-functional committees and workgroups.
• Develop and communicate operational performance reports to the Director and key stakeholders, translating data trends into actionable recommendations for process improvement.
• Develop and implement revenue integrity strategies across all clinical areas, partnering with the Director to translate organizational priorities into operational improvements that reduce revenue leakage.
• Manage departmental budgets and resources, monitoring expenditures against plan and recommending adjustments to the Director regarding staffing, technology, and resource allocation.

What’s Available:

• 1.0 FTE
• Schedule: Monday-Friday Days typically 8:00am-5:00pm
• Location: Remote eligible role. This position can be filled for residents of WI, MN, or IA. There may be occasional travel between the La Crosse, WI and Green Bay, WI regions
• Compensation: Starting at $87,000 with opportunity for higher pay based on relevant work experience
  

What You’ll Need:

• Education : Bachelor’s degree in healthcare, Hospital Administration, Business or related field.
• Experience : 5 years of progressive revenue cycle experience and
• Certification/ License: Certification from a recognized professional coding or health information organization, such as AAPC or AHIMA, Required.
• Advanced knowledge of healthcare revenue cycle operations, including charge capture, billing, coding, reimbursement, and denial management.
• Experience leading Revenue Integrity functions within a large health system
• Strong analytical skills with experience using data visualization and reporting tools such as Epic Reporting Workbench, Cogito, Tableau, Power BI, or SQL-based reporting platforms.
• Advanced proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Teams.
• Strong organizational, time management, and multitasking skills with exceptional attention to detail.
• Demonstrated ability to handle confidential and sensitive information with professionalism and discretion.
• Exceptional communication, presentation, change management, and team development skills.

In addition to the rewarding work, you’ll receive:

• A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated
• Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member
• Substantial retirement contribution including a 401k match & annual discretionary base contribution
• Work-Life Balance: Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need
• Professional Development: Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center
• Additional Employee Discounts and Perks Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!

PRACTICES AND PROMOTES BEHAVIOR CONSISTENT WITH THE MISSION, VISION AND VALUES

Mission :Together, we inspire your best life by relentlessly caring, learning and innovating.
Vision :Leading with love, we courageously commit to a future of healthy people and thriving communities.
Values: Belonging, Respect, Excellence, Accountability, Teamwork, Humility

Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan’s Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities.

If you need assistance with any portion of the application or have questions about the position, please contact [e-mail] or call 608-775-0267.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.

Equal Opportunity Employer