Manager Revenue Integrity - FT - Days - MHS - Remote Eligible

Memorial Hospital West; United States; Remote; USD 110,000 - 160,000; Full time

Job summary

Memorial Hospital West in Fort Lauderdale, FL, is seeking a Revenue Integrity Manager to lead the Revenue Integrity Charge Capture and Reconciliation team across the health system. You will drive accurate charge capture, coding compliance, and reimbursement optimization by overseeing staff, workflows, and tool design, including Epic systems.

Strong collaboration with RCM, coding, and operational teams is required.

Qualifications

• Experience leading revenue integrity or revenue cycle teams.
• Strong understanding of charge capture, CPT/HCPCS coding, and payer requirements.
• Experience with Epic systems and CDM management.

Responsibilities

• Manages daily functions of the Revenue Integrity Charge Capture and Reconciliation team.
• Reviews revenue, utilization, charge master accuracy, and denial trends; identifies opportunities to optimize revenue cycle performance and ensure charging compliance.
• Educates clinical departments on charging requirements and revenue integrity best practices; collaborates with analysts, coding, billing, and operational teams to support compliant charge capture processes.
• Leads revenue management activities for areas under Revenue Integrity ownership, including charge capture oversight and process improvement initiatives.
• Analyzes payer reimbursement updates and provides financial impact assessments and recommendations to leadership.
• Oversees new procedure implementation, including CPT code assignment, preference list updates, and clinical department education.

Skills

Accountability

Accuracy

Analysis

Decision Making

Customer Service

Relationship Development

Effective Communication

Organization

Productivity

Change Management

Standards of Behavior

Teamwork

Education

Bachelor's degree

Epic Charge Router Certification (EPIC CHG ROUTER)

Epic Resolute Billing Certification (EPIC BILLING)

Job description

Location: Fort Lauderdale, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

The Revenue Integrity Manager provides operational leadership for Revenue Integrity functions, overseeing staff and workflows to ensure accurate, compliant, and timely charge capture, billing readiness, reimbursement optimization, and revenue protection across the health system.

Responsibilities:

Manages and monitors staffing activities including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.Periodically tests samples of departmental charges to evaluate whether staff members are performing correctly, and controls are operating as designed. Works with RCM and departmental staff to provide as‑needed retraining as well as regular periodic updates for all charge capture staff.Monitors and provides training, support and troubleshooting to both application teams and end‑users to facilitate proper usage and continuous learning. Manages applications projects including workflow analysis, end‑user validation, acceptance, go-live, and maintenance using standard project management methodology. Sets project deadlines and deliverables for specific modules and analysis. Manages the debugging and enhancements processes including the design and upgrades to existing systems in order to ensure up-to-date and reliable functionality.Utilizes subject matter expert skills to assist MHS leaders with analyses of billing, coding, and documentation requirements for payer coverage and payment of services affecting their service lines and initiatives.Designs and evaluates the tools and processes used to capture charges in each MHS department. Updates the design of tools to empower departmental staff to accurately post charges efficiently, without rework. Designs and implements controls to empower departmental leaders to ensure staff have captured charges accurately and timely. Ensures Epic charge‑related work queues are timely and correctly cleared.Selects opportunities identified by team to implement and improve existing processes using information technology and ensures alignment with strategic initiatives of the organization.Manages the planning of application development and deployment; educates and promotes adherence to the organization’s software compliance standards within the team.Strategic focus: based on regulatory and industry updates, MHS strategic initiatives, end‑user feedback, and other information, identifies and achieves opportunities to improve charge capture efficiency and accuracy, eliminate missed charges, eliminate billing rework, and improve MHS net revenue.Keeps current, timely reads, and analyzes Medicare, Medicaid, and other technical guidance to determine how they affect Memorial Healthcare System (MHS) capture. Develops, recommends, and implements plans to comply with regulatory updates as approved by the Director of Revenue Integrity and in collaboration with responsible MHS leaders.Develops annual CDM CPT/HCPCS updates and implements as approved by the Director of Revenue Integrity. Includes working with operational departments to identify applicable new or revised codes. Oversees the maintenance of CDM‑driven CPT/HCPCS coding requirements. Develops annual CDM Fee Schedule updates and implements as approved by the Director of Revenue Integrity. Updates Price Transparency Standard Charges file in accordance with regulatory requirements.

Competencies:

• ACCOUNTABILITY


• ACCURACY


• ANALYSIS AND DECISION MAKING


• CUSTOMER SERVICE


• DEVELOPS RELATIONSHIPS


• EFFECTIVE COMMUNICATION


• ORGANIZATION SKILLS


• PRODUCTIVITY


• RESPONDING TO CHANGE


• STANDARDS OF BEHAVIOR


• TEAM WORK

Education and Certification Requirements:

• Bachelors


• Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC)


• Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC)

Additional Job Information:

Responsibilities

Manages daily functions of the Revenue Integrity Charge Capture and Reconciliation team.

Reviews revenue, utilization, charge master accuracy, and denial trends; identifies opportunities to optimize revenue cycle performance and ensure charging compliance.

Educates clinical departments on charging requirements and revenue integrity best practices; collaborates with analysts, coding, billing, and operational teams to support compliant charge capture processes.

Leads revenue management activities for areas under Revenue Integrity ownership, including charge capture oversight and process improvement initiatives.

Analyzes payer reimbursement updates and provides financial impact assessments and recommendations to leadership.

Oversees new procedure implementation, including CPT code assignment, preference list updates, and clinical department educati