Revenue Integrity Lead: Charge Capture & Analytics

Stanford Health Care; Sacramento (CA); On-site; USD 138,000 - 183,000; Full time

Job summary

Stanford Health Care seeks a Revenue Integrity Program Manager to optimize hospital and professional revenue, reduce leakage, and ensure compliant charging and billing practices. The role collaborates with Revenue Cycle leadership, clinical departments, and the DFA to educate and implement improvements using data analytics.

Responsibilities include charge capture audits, CDM optimization, staff education on CPT/HCPCS codes, leading improvement projects, and presenting findings to executive

Qualifications

• Proficient in hospital and professional revenue cycle operations.
• Strong ability to analyze revenue data and present findings to diverse audiences.
• Excellent written and verbal communication; able to educate staff and leadership.

Responsibilities

• Conduct charging optimization reviews/audits and educate staff.
• Ensure CDM is compliant and pricing integrity maintained.
• Provide education on CPT/HCPCS codes and modifiers.
• Lead projects to improve revenue capture and reduce provider burden.
• Perform basic financial analyses and report impact to leadership.
• Identify charging issues and develop solutions with stakeholders.
• Present revenue performance to Chairs, DFA leaders, and executives.

Skills

Revenue cycle operations

Data analytics

Communication

Leadership

Education

Bachelor's degree

Tools

Epic Care

Job description

Stanford Health Care seeks a Revenue Integrity Program Manager to optimize hospital and professional revenue, reduce leakage, and ensure compliant charging and billing practices. The role collaborates with Revenue Cycle leadership, clinical departments, and the DFA to educate and implement improvements using data analytics.

Responsibilities include charge capture audits, CDM optimization, staff education on CPT/HCPCS codes, leading improvement projects, and presenting findings to executive