Revenue Integrity Manager: Denials & Compliance Leader

Cone Health Medical Group; Greensboro (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

Cone Health Medical Group is seeking a Revenue Integrity Manager to lead the department’s daily activities, oversee audits, and ensure compliance with government regulations. You will guide denial management, educate staff, and partner with payers and physicians to optimize reimbursement.

The role requires strong leadership, 6 years in Revenue Cycle, and a track record of process improvements. A Bachelor’s degree is required, Master’s preferred, with HFMA certifications a plus.

Qualifications

• Bachelor's degree required.
• 6 years of revenue cycle experience required.
• Master's degree preferred.

Responsibilities

• Sets departmental productivity and quality objectives.
• Leads audit systems and ensures compliance with standards.
• Provides training and coaching to improve leadership and team performance.
• Analyzes revenue cycle data to support reimbursement objectives.
• Collaborates with physicians, payers, and leaders to improve revenue capture.
• Manages denial management, refunds, and reimbursement processes.

Skills

Leadership

Revenue cycle knowledge

Data analysis

Training and coaching

Cross-functional collaboration

Communication

Process improvement

Education

Bachelor's degree

Master's degree

Job description

Cone Health Medical Group is seeking a Revenue Integrity Manager to lead the department’s daily activities, oversee audits, and ensure compliance with government regulations. You will guide denial management, educate staff, and partner with payers and physicians to optimize reimbursement.

The role requires strong leadership, 6 years in Revenue Cycle, and a track record of process improvements. A Bachelor’s degree is required, Master’s preferred, with HFMA certifications a plus.