Program Manager - Revenue Integrity

UHS; Wayne (PA); On-site; USD 95,000 - 150,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with company match

Generous Paid Time Off

Growth and development opportunities

Competitive compensation

Job summary

Universal Health Services, Inc. (UHS) is seeking a seasoned Revenue Cycle Program Manager to optimize revenue integrity across multiple departments.

You will lead audits, coordinate with registration, billing, coding, and denials management to improve cash flow and net revenue realization, and mentor junior staff in a fast-paced healthcare environment. The role emphasizes strong regulatory knowledge, pattern analytics, and experience with healthcare compliance and inpatient billing.

Qualifications

• 8–10 years of revenue cycle experience and a college degree in business, finance, healthcare administration, health information management, or similar.
• Experience with patient accounting systems, coordinating diverse stakeholders, and applying pattern analytics to optimize operations.
• Healthcare compliance, health information, inpatient medical billing and coding, and regulatory operations experience.
• Medical coding certification (CPC, CCS) strongly preferred.
• Strong professional written and verbal communication skills; proficiency with Microsoft Office tools.

Responsibilities

• Assess current revenue cycle processes and workflows; identify efficiency and effectiveness improvements.
• Collaborate with registration, billing, charging, coding, collections and denials management to streamline processes and maximize cash flow.
• Analyze revenue cycle metrics to identify trends, variances, and opportunities for improvement.
• Lead revenue integrity audits; develop action plans and coordinate remediation as needed.
• Support implementation and maintenance of revenue cycle software and tools; communicate CDM maintenance activities to departments.
• Provide guidance, coaching, and mentorship to junior team members; respond to audits and inquiries in a timely manner.
• Generate reports on CDM accuracy, charge capture, denials, write-offs, and payment delays; analyze trends.

Skills

Revenue Cycle

Stakeholder coordination

Process improvement

Audit coordination

Mentorship

Communication skills

Education

Bachelor's degree in business/healthcare

Medical coding certification (CPC/CCS) preferred

Tools

Patient accounting system

Microsoft Word

Microsoft Excel

Job description

Responsibilities

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Responsibilities

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

The Corporate Revenue Cycle Department is seeking a dynamic and talented Program Manager - Revenue Cycle - Revenue Integrity.

As a Revenue Cycle Program Manager, you’ll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement.

Revenue Cycle Program Managers are experts in the subject matter and possess a comprehensive understanding of Revenue Cycle operations. Program Managers operate independently to analyzes accounts receivable and ensure maximization of net revenue realization, stable cash collections, avoidance of denials and measured reduction to bad debt. Program Managers act as liaisons between central billing offices, facilities, and other stakeholders.

The Revenue Integrity Program Manager serves as a leader and subject matter expert for revenue integrity operations by optimizing revenue, supporting clinical and other colleagues in optimizing accurate charge capture, interpreting government regulations and payer requirements, and maintaining the chargemaster. The Revenue Integrity Program Manager oversees projects, implements best practices, educates users on processes and vendor products, and recommends actionable improvements. Revenue Integrity Program Managers also serve as a liaison to the Central Business Offices and facilities to support continuous process improvement and compliant revenue maximization.

• Monitors, reads, interprets, and disseminates regulatory and payer requirements to identified parties timely through the creation of communications, trainings, and policies
• Performs and/or coordinates revenue integrity audits to verify adherence to policy, regulatory guidance and industry standards, analyzes audit findings to create action plans, and coordinates efforts for remediation as needed
• Supports the implementation and maintenance of revenue cycle management software and tools based on end user requests and regulatory guidance
• Communicates CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing
• Responds to internal and external audit requests in a timely manner
• Provide guidance, coaching, and mentorship to junior team members
• Generates reports related to revenue cycle metrics, such as CDM accuracy, charge capture, claim denials, write-offs, and payment delays, and assist in analyzing trends

Qualifications

Performs all other duties as assigned/required

Experience & Knowledge

A Revenue Cycle Program Manager should have a minimum of 8-10 years of relevant experience and a college degree in business, finance, healthcare administration, health information management, or similar. A Program Manager should have demonstrated experience working in a patient accounting system, coordinating diverse stakeholders, improving Revenue Cycle operations, and utilizing pattern analytics and industry best practices to enhance systems and operations. A highly qualified candidate should have experience with healthcare compliance, health information, inpatient medical billing and coding, and healthcare regulatory operations. Medical coding certification (e.g., CPC, CCS) is strongly preferred. Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements. A qualified candidate should have strong professional written and verbal communication skills, proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.), and the ability to meet deadlines and multitask.

Travel Requirements

Up to 15% domestic travel dependent on business need

This Opportunity Provides The Following

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off
• UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.