Manager, Revenue Integrity

Gundersen Health System; Wisconsin; Hybrid; USD 78,000 - 96,000; Full time

Benefits offered by this job

Competitive benefits

401k match

PTO and work-life balance

Professional development

Employee discounts

Job summary

Gundersen Health System is seeking an experienced Manager of Revenue Integrity to lead daily operations of the Revenue Integrity department. This role focuses on ensuring accurate, compliant revenue cycle activities, with KPIs, audits, and cross-functional collaboration across clinical and financial teams.

Responsibilities include directing charge capture, chargemaster governance, onboarding new service lines, and implementing strategies to reduce revenue leakage.

Qualifications

• Bachelor's degree in healthcare, Hospital Administration, Business or related field.
• 5 years of progressive revenue cycle experience and 2 years of leadership in healthcare in Revenue Cycle, Required.
• Certification from AAPC or AHIMA, Required.
• Advanced knowledge of healthcare revenue cycle operations including charge capture, billing, coding, reimbursement and denial management.
• Experience leading Revenue Integrity within a large health system.
• Advanced proficiency in Microsoft Office; strong data analysis and reporting skills.

Responsibilities

• Direct and oversee daily operational workflows, work queues, and departmental processes to ensure timely, accurate revenue integrity operations.
• Establish and report KPIs aligned to revenue goals; develop corrective action plans and performance improvement initiatives.
• Oversee the department's internal audit program ensuring audits meet payer and regulatory requirements.
• Direct charge capture operations, chargemaster governance, and revenue recovery including pricing reviews.
• Lead new service line onboarding: billing design, payer policy validation, and compliance review before go-live.
• Collaborate with clinical, coding, finance, and ops leaders to resolve revenue cycle issues and represent the department in cross-functional groups.
• Develop and communicate operational reports translating data trends into actionable improvements.
• Implement revenue integrity strategies across clinical areas and manage budgets and staffing with Director guidance.

Skills

Leadership

Analytical skills

Communication

Project management

Team development

Education

Bachelor's degree in healthcare, Hospital Administration, Business or related field

Tools

Epic Reporting Workbench

Cogito

Tableau

Power BI

SQL-based reporting

Microsoft Office

Job description

Love + medicine is who we are, it's what we do, it's why people want to work here.

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.

Major Responsibilities

• 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. 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 2 years of demonstrated leadership experience in health care in Revenue Cycle, Required.
• 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.
• Advanced proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Teams.
• 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.
• 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.

Benefits

• 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 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.

Equal Opportunity Employer