Revenue Integrity Operations Manager

PRINCETON BAPTIST MEDICAL CENTER; Orlando (FL); On-site; USD 75,000 - 90,000; Full time

Job summary

A leading healthcare provider in Orlando is seeking a Revenue Integrity Operations Manager to lead and optimize revenue cycle operations. The role requires managing a team, ensuring regulatory compliance, and collaborating with multiple departments to improve efficiency. Ideal candidates possess extensive experience in healthcare revenue management, strong leadership skills, and a relevant degree. This is a full-time position offering a competitive salary and benefits.

Qualifications

• 5+ years in hospital revenue cycle operations.
• 2+ years in a leadership or management role.
• Strong knowledge of Medicare/Medicaid billing and regulatory compliance.

Responsibilities

• Oversee charge capture, pricing compliance, and revenue reporting processes.
• Lead and mentor a team of managers and coordinators.
• Communicate with other departments to improve workflows.

Skills

Leadership

Regulatory Compliance

Revenue Cycle Management

Collaboration

Education

Bachelor’s degree in business, finance, healthcare, or related field

Job description

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Position Summary

Revenue Integrity Operations Manager

Orlando, FL | Full-Time

Orlando Health is seeking a detail-oriented and strategic Revenue Integrity Operations Manager to lead efforts in ensuring accurate, compliant, and optimized revenue cycle operations. This role is key to identifying revenue opportunities, implementing regulatory updates, and guiding a team of professionals across multiple departments.

Key Responsibilities

• Oversee charge capture, pricing compliance, and revenue reporting processes
• Lead and mentor a team of managers, liaisons, and coordinators
• Collaborate with clinical, financial, and IT teams to improve workflows
• Monitor Medicare, Medicaid, and payer regulations to ensure compliance
• Prepare executive summaries, dashboards, and performance reports
  
  

Essential Functions

• Assigns and monitors staff workload to ensure goals are met on time and within budget and regulatory guidelines through approved methods and standards.
• Assists in annual budget projection and works within finalized budget and capital approvals.
• Provides resources as appropriate to assist other areas in the Revenue Cycle to complete projects.
• Delegates special projects providing realistic goals, timelines, resources, and adjusting for unforeseen opportunities.
• Establish guidelines for process improvements to ensure stages are documented, approved, communicated, and implemented.
• Ensure delivery of Executive Summaries to all appropriate parties in the revenue cycle team.
• Provides clear vision, direction, planning, and support to direct reports.
• Collaborate with all team members, Site Administration, CFO’s and Managers within all revenue producing departments.
• Recruits and retains qualified staff members to ensure visibility of the department at all locations.
• Provides mentoring and career development to direct and/or indirect reports within the Revenue Integrity Department.
• Encourages direct reports to work collaboratively with IS, Nursing and Revenue Management leadership in the process improvement and implementation of charge capture opportunities.
• Develops relationships with various committees and groups to ensure continuity in processes that increase revenue capture.
• Communicates and interfaces professionally with other Managers and team members in the Revenue Integrity Department.
• Identifies communication opportunities to minimize overlap of processes and enhance workflow.
• Empowers team and build trust by leading through integrity, impartiality, and responsiveness.
• Trains team to assist departments on daily charge capture, and reconciliation processes.
• Oversee all pricing and compliance methodologies are applied to charges according to regulations and corporate financial guidelines.
• Oversee Education and Training, as it pertains to the revenue cycle, charge capture, and analytics.
• Reports capture successes as they occur in entering areas.
• Directs an annual review of departments whose charges are grouped by APC, relative weight or any other level assignment to ensure validity of charging practices.
• Ensure revenue neutrality is maintained through performance of a gross/net revenue impact analysis on any change in charging practices.
• Responsible for communicating process changes to all appropriate staff members in a timely manner to avoid confusion.
• Oversees implementation of all regulatory alerts, updates and Chargemaster changes.
• Ensure direct reports grasp the impact of changes, expected outcomes, and follow necessary steps in management revenue processes.
• Prepare revenue dashboards and reports for various audiences and updates as needed.
• Manages various human resources functions including hiring, work assignments, coaching, training and development, and performance improvement plans.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
  
  

Qualifications

• Bachelor’s degree in business, finance, healthcare, or related field (Associate’s and below experience may substitute)
• 5+ years in hospital revenue cycle operations
• 2+ years in a leadership or management role
• Strong knowledge of Medicare/Medicaid billing and regulatory compliance
• Coding certification or healthcare license preferred
  
  

Why Join Orlando Health?

At Orlando Health, We Live By Our Four Cs

• Commitment to Excellence – We strive for the highest standards in everything we do.
• Compassionate Care – We treat every patient and team member with empathy and respect.
• Collaboration – We work together across departments to drive innovation and results.
• Community – We’re deeply rooted in the communities we serve and give back in meaningful ways.
  
  

Join a mission-driven team where your leadership will directly impact financial integrity and patient care excellence.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Hospitals and Health Care

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