Get a reply from this employer
Your resume and cover letter, tailored to exactly what they’re hiring for.
UC Davis Health seeks a Revenue Integrity Manager to lead enterprise-wide charge capture, audit, analytics and reporting across HB/PB revenue streams. You will develop policies, education, and training to ensure compliant, timely charge capture and revenue optimization.
This role requires strong analytical, project management, and communication skills, with collaboration across clinical operations, coding, compliance, finance, and Information Services to drive improvements and durable revenue
#CA-KN
Under the direction of the Revenue Integrity Associate Director, the Revenue Integrity Manager provides strategic and operational leadership for the enterprise-wide Revenue Integrity program, including Charge Audit and Revenue Monitoring, Clinical Charge Capture, Revenue Integrity Analytics, and Reporting. This position is responsible for the daily management, oversight, and direction of these functions to ensure compliant, accurate, and timely charge capture, coding, billing, and revenue optimization across UC Davis Health.
The Revenue Integrity Manager leads Hospital Billing (HB) and Professional Billing (PB) revenue integrity initiatives by developing, implementing, and maintaining charge capture policies, procedures, education, and training programs that promote regulatory compliance, operational consistency, and financial performance. Serving as the subject matter expert for charge capture, the incumbent provides consultation and guidance to clinical, operational, revenue cycle, compliance, finance, and Information Services leaders while partnering with stakeholders across the organization to identify, investigate, and resolve complex revenue cycle issues. The manager maintains comprehensive knowledge of charge capture methodologies, workflows, reimbursement practices, and revenue cycle operations across all UC Davis Health service lines and establishes and oversees an ongoing Charge Reconciliation and Audit Program and enterprise-wide revenue monitoring that aligns with the broader Revenue Integrity Audit strategy to ensure consistent monitoring of compliance and revenue performance.
In partnership with the Revenue Integrity Associate Director, The Revenue Integrity Manager provides strategic and operational leadership by establishing goals, managing projects and competing priorities, supporting technology and system enhancements, and fostering a collaborative, goal-oriented environment. The position requires strong critical-thinking, analytical, problem-solving, project management, and communication skills, with the ability to interpret complex data and systems, identify trends, develop reliable forecasts and reports, and communicate complex information clearly to diverse audiences.
The manager promotes a culture of quality, teamwork, accountability, and continuous improvement while effectively delegating assignments, resolving conflicts, meeting deadlines, and driving achievement of organizational objectives.
Working collaboratively with clinical operations, coding, compliance, finance, patient financial services, Information Services, and in close collaboration with the Enterprise Program Denials Manager, the Revenue Integrity Manager identifies charge capture gaps, monitors charge accuracy and reconciliation performance, evaluates revenue variance trends, supports denial prevention initiatives by identifying upstream revenue integrity risks, implementing proactive measures to reduce preventable denials, and developing mitigation strategies to improve clean claim performance, coordinates internal and external audit readiness, and implements process improvements that strengthen revenue cycle performance and financial outcomes.
This position functions with a high degree of independence and accountability, leading complex cross-functional initiatives, developing enterprise policies and standards, and implementing innovative solutions that maximize reimbursement, improve operational efficiency, and ensure regulatory compliance. The manager provides advanced analytical oversight of charge capture performance, serves as a key liaison among Revenue Integrity, Revenue Cycle, clinical departments, and external stakeholders, and drives enterprise-wide revenue optimization initiatives.
Success in this role requires extensive knowledge of Hospital and Professional billing operations, reimbursement methodologies, healthcare regulations, revenue cycle best practices, and healthcare information systems. The incumbent must possess exceptional analytical, project management, communication, organizational, and leadership skills to evaluate complex workflows, assess operational and financial risks, improve documentation, coding, billing, reporting, and charge capture processes, and make sound decisions in situations requiring independent judgment where precedent may not exist.
Performs other duties as assigned in a competent, professional, and customer-focused manner.
Performs other position appropriate duties as required in a competent, professional, and courteous manner.