Revenue Optimization Manager

Oregon Vascular Specialists - Portland; Wilsonville (OR); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

401(k) with Employer matching

Medical/Vision insurance (HSA)

Dental insurance

Flexible spending account

Short Term Disability insurance

Life insurance

Paid time off

Job summary

Oregon Vascular Specialists in the Portland metro area is seeking a Revenue Integrity Manager to lead our revenue cycle integrity program. This executive role partners with physicians and third‑party RCM to maximize reimbursement, ensure coding accuracy, and drive financial performance across the practice.

The ideal candidate has 7+ years in healthcare revenue cycle with 5+ years in leadership, healthcare analytics proficiency, and strong knowledge of Medicare and commercial payer regulations.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Master's degree (MBA, MHA, or similar) preferred.
• 7+ years of progressive healthcare revenue cycle experience.
• At least 5 years in a leadership role.
• Experience managing physician practice revenue cycle operations required.
• Surgical specialty experience strongly preferred.
• Ambulatory surgery center experience a plus.

Responsibilities

• Develop and maintain a comprehensive revenue integrity program.
• Monitor charge capture accuracy and reduce revenue leakage.
• Audit coding, documentation, and reimbursement processes.
• Ensure compliance with Medicare, payer regulations, CPT, ICD-10, HCPCS.
• Collaborate with providers to improve clinical documentation and coding accuracy.
• Oversee all phases of the revenue cycle: insurance verification, prior authorizations, AR review, and patient collections.
• Develop strategies to improve collections and reduce denials.
• Lead and mentor revenue cycle staff including prior authorization specialists and schedulers.
• Support hiring, onboarding, training, coaching, and performance management.
• Monitor reimbursement trends and payer activity; analyze data to identify improvements.
• Prepare executive-level dashboards and reports; identify underpayments and monitor compliance.

Skills

Leadership

Revenue cycle management

Data analysis

Regulatory compliance

Strategic planning

Communication

Collaboration

Problem solving

Education

Bachelor's degree in Healthcare Administration

Master's degree (MBA, MHA, or similar)

Tools

Excel

Job description

Description

Join Oregon Vascular Specialists (Portland Metro Area) as our Revenue Integrity Manager and help shape the future of a growing, patient-centered vascular surgery practice.

Oregon Vascular Specialists is a growing physician-led vascular surgery practice committed to delivering exceptional patient care while maintaining operational excellence and financial integrity. We are seeking an experienced Revenue Integrity Manager to join our leadership team and help optimize revenue cycle performance, reimbursement, compliance, and financial outcomes across our organization.

Position Summary

The Revenue Integrity Manager is responsible for overseeing all aspects of revenue integrity and revenue cycle operations. This leadership role partners closely with physicians, operational leaders, and our third‑party revenue cycle management company to ensure accurate charge capture, coding compliance, reimbursement optimization, denial prevention, payer performance, and revenue analytics. The successful candidate will be a strategic leader who uses data to improve processes, reduce revenue leakage, and support organizational growth.

Responsibility Highlights

• Develop and maintain a comprehensive revenue integrity program.
• Monitor charge capture accuracy and identify opportunities to reduce revenue leakage.
• Conduct audits of coding, documentation, and reimbursement processes.
• Ensure compliance with Medicare, commercial payer, CPT, ICD‑10, HCPCS, and regulatory requirements.
• Collaborate with providers to improve clinical documentation and coding accuracy. ?cite?turn1search4?
• Provide oversight of all phases of the revenue cycle, including:
  • Insurance verification
  • Prior authorizations
  • Act as a liaison for the practice with our third‑party RCM company to review issues with claims submission/denial management and assist with coding issues and other AR related functions specific to the practice
  • Patient collections
• Develop strategies to improve collections, reduce denials, and optimize reimbursement.
• Lead and mentor revenue cycle support staff, including:
  • Prior authorization specialists, Procedural schedulers, Referral coordinators and Front Office staff
• Support hiring, onboarding, training, coaching, and performance management.
• Monitor reimbursement trends, revenue performance, and payer activity.
• Analyze financial and operational data to identify areas for improvement.
• Prepare executive‑level dashboards and reports.
• Identify underpayments and monitor payer compliance.

Why Join Us

At Oregon Vascular Specialists, we are committed to delivering exceptional care while fostering a supportive, collaborative workplace culture. This is an exciting opportunity to work alongside physician leaders and dedicated staff to strengthen operations, enhance employee engagement, and support the continued growth of a highly respected vascular surgery practice.

Benefits

• 401(k) with Employer 401(k) matching
• Medical/Vision insurance (HSA available)
• Dental insurance
• Flexible spending account
• Short Term Disability insurance
• Life insurance
• Paid time off

Competitive compensation based on experience and qualifications

Requirements

Education

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required.
• Master's degree (MBA, MHA, or similar) preferred.

Experience

• 7+ years of progressive healthcare revenue cycle experience.
• At least 5 years in a leadership role.
• Experience managing physician practice revenue cycle operations required.
• Surgical specialty experience strongly preferred.
• Ambulatory surgery center experience is a plus.

Preferred Certifications (one or more)

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• CPMA (Certified Professional Medical Auditor)
• CRCR or CRCE
• HFMA certifications preferred

Knowledge & Skills

• Revenue cycle management and revenue integrity
• Physician reimbursement and knowledge of surgical coding
• Medicare and commercial payer regulations
• Contract analysis and healthcare finance
• Healthcare analytics and reporting
• Leadership, team development, and process improvement
• Advanced Excel and data analysis skills