REVENUE INTEGRITY MANAGER

University of California- Davis Health; Sacramento (CA); Remote; USD 107.000 - 220.000; Vollzeit

Benefits dieser Stelle

Excellent benefits package

Remote work option

Paid holidays and time off

Education reimbursement

Career development opportunities

Employee wellness programs

Zusammenfassung

University of California Davis Health is seeking a Revenue Integrity Manager to provide strategic and operational leadership for enterprise-wide revenue integrity, including charge audit, revenue monitoring, and analytics.

The role leads Hospital and Professional Billing revenue integrity initiatives, develops policies, and partners with stakeholders to ensure compliant, accurate charge capture and optimal reimbursement.

Qualifikationen

• RHIA/RHIT/CCS/COC/CPMA/CPC certification required and HFMA CRCR or equivalent must be obtained within 6 months of hire.
• Bachelor's degree in healthcare finance related subject matter or equivalent combination of education and experience.
• 7+ years Revenue Integrity/Revenue Cycle experience.
• 7+ years hospital and professional coding and/or charge capture experience.
• 5+ years supervisory experience and staff mentoring.
• Experience implementing and supporting EPIC EMR systems.
• Experience with hospital and professional revenue capture.
• Experience with interfaced/integrated multi-vendor applications.
• Advanced analytical skills to monitor KPIs and identify optimization opportunities.
• Strong coding and auditing background with ability to provide actionable feedback.

Aufgaben

• Lead Revenue Integrity Charge Capture Enterprise Services Manager initiatives.
• Oversee audits and ensure compliance with regulatory standards.
• Manage denial and contract management activities to optimize revenue.
• Communicate effectively with clinical operations, revenue cycle, compliance, finance and IT leaders.
• Develop and implement charge capture policies, training, and education programs.
• Collaborate across departments to identify and resolve complex revenue cycle issues.

Kenntnisse

Advanced analytical

Project management

Leadership

Communication skills

Problem solving

Interpersonal skills

Regulatory knowledge

Ausbildung

Bachelor's degree in healthcare finance

RHIA/RHIT/CCS/COC/CPMA/CPC certifications

Tools

EPIC EMR

Jobbeschreibung

#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.

Apply By Date: 11/1/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Coding Certification: RHIA, RHIT, CCS, COC, CPMA, CPC (Required) and HFMA CRCR or equivalent, must be obtained within 6 months of hire date.
• Bachelor's degree in healthcare finance related subject matter or equivalent combination of education and experience.
• 7+ Years of Revenue Integrity and/or Revenue Cycle experience.
• 7+ Years of hospital and professional coding and/or charge capture experience.
• 5+ Years of experience serving in a supervisory role hiring, coaching, mentoring staff.
• Experience implementing and supporting EPIC EMR systems.
• Experience with hospital and professional revenue capture.
• Experience working with clinical information systems or system implementation teams for complex projects and/or application development.
• Experience working with interfaced/integrated multi-vendor applications.
• Expert revenue cycle knowledge including experience with multiple parts of the revenue cycle.
• Advanced analytical skills to root cause, monitor and evaluate key performance indicators to identify areas needing further review or optimization.
• Demonstrated coding and auditing background with appropriate skills to provide meaningful feedback to Revenue Integrity, Billing and Service Line leadership.
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• Knowledge of operations, systems and functions, including planning, design, development, implementation, user support and training, maintenance, quality assurance, and system testing and evaluation supporting healthcare revenue cycle.
• Knowledge of insurance claim processing, third-party reimbursement practices and contract terms.
• Knowledge of quality tools and experience in business or clinical process improvement initiatives.
• Participation in work process improvement and/or an implementation of an activity or strategy in a department, hospital or system environment.
• Advanced interpersonal communication skills to effectively train, support, and collaborate productively with clinical and revenue cycle users, and key stakeholders at all professional and technical levels.
• Experience demonstrating knowledge of business operations and end-user requirements to improve or develop system design and training projects.
• Strong customer service orientation.
• Organizational skills to independently prioritize workload and meet deadlines develop and carry out project assignments in efficient and timely manner, and to provide accurate and succinct documentation of activities.
• Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by heavy workload, frequent interruptions and multiple requests.
• Ability to apply advanced problem-resolution skills to highly complex issues, quickly diagnose problems, and develop, test and implement appropriate and effective solutions in a timely manner.
• Advanced written and verbal communications skills, to convey highly-technical information and instructions to all levels of clinical and revenue cycle users and staff in a specific, clear, and concise manner.
• Advanced ability to serve as a technical leader and information resource, and to work collaboratively with key personnel and management, providing guidance and recommendations on systems, improvements, upgrades, and industry advances and trends.
• Proficient in office automation software (word processing, spreadsheets, visual presentation, etc.)

Preferred Qualifications

• Epic clinical and revenue cycle experience.
• Epic charge capture or other revenue cycle related certification or proficiency.
• Experience with hospital charge masters
• Academic institution or large integrated health system experience.
• Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Knowledge and understanding of University policies and procedures.

Key Responsibilities

• 70% - Revenue Integrity Charge Capture Enterprise Services Manager
• 10% - Audits
• 10% - Denial and Contract Management
• 10% - Communication - Internal and External

Department Overview

The Revenue Integrity Department provides enterprise-wide oversight of charge capture processes, chargemaster maintenance, coding and documentation integrity, reimbursement compliance, denial prevention, and support revenue optimization initiatives. Through data analysis, auditing, workflow evaluation, and collaboration with stakeholders, the department identifies opportunities to improve operational efficiency, strengthen financial performance, and reduce compliance risk.

The department works closely with clinical departments, Revenue Cycle Operations, Information Technology, Finance, Compliance, Patient Financial Services, and executive leadership to develop and implement policies, procedures, system enhancements, and best practices that support accurate revenue recognition and sustainable financial outcomes.

Key functions include charge capture auditing, chargemaster governance, clinical documentation and coding review, reimbursement analysis, denial trend management, regulatory compliance monitoring, system implementation support, workflow optimization, and revenue recovery initiatives. The team leverages advanced analytics and industry best practices to identify trends, evaluate performance, and drive continuous improvement across the healthcare enterprise.

As a center of excellence, UC Davis Health's Enterprise Revenue Integrity department promotes accountability, education, and standardization while serving as a trusted resource for regulatory guidance, operational support, and strategic decision-making. The department's mission is to protect and enhance organizational revenue through accurate and compliant revenue cycle practices that support the delivery of high-quality patient care.

POSITION INFORMATION

• Salary or Pay Range: $9,558.33 - $19,725.00
• Salary Frequency: Monthly
• Salary Grade: Grade 26
• UC Job Title: REVENUE CYCLE HC MGR 1
• UC Job Code: 006618
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 hours
• Location: Remote Worksite (REMOTE)
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is 100% remote

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility by visiting UCnet Benefits Page or Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees.

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for dental and vision coverage for you and your family
• Retirement plans for eligible employees including Pension and other Retirement Saving Plans
• Supplemental insurance offered including additional life, short/long term disability, pet insurance, legal coverage, accident, critical illness and hospital indemnity
• Pregnancy and Parental Leave, Family & Medical Leave, Adoption Assistance and Pay for Family Care and Bonding for eligible employees
• Lactation Support Program and Family Care discounts and resources
• Employee Well-being resources and programming to support thriving in all aspects of employee's lives
• On-site Employee Assistance Program including access to free mental health services
• Generous amount of paid Holidays annually as outlined in the UC Policies or Collective Bargaining Agreements
• Paid Time Off/Vacation/Sick Time as outlined in the UC Policies or Collective Bargaining Agreements
• Continuing Education (CE) allowance and Staff Education Reimbursement Program for eligible employees
• Access to free professional development courses and learning opportunities for personal and professional growth
• Public Service Loan Forgiveness (PSLF) Qualified Employer and Student Loan Debt Counseling Program for eligible employees

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e.g. e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment

Misconduct Disclosure Requirement

As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an