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We are looking for a Revenue Integrity Program Manager to support revenue cycle performance and compliance initiatives for clinical and physician service lines in Sacramento, California. This Long-term Contract position will focus on strengthening charge capture accuracy, improving financial outcomes, and helping operational leaders identify opportunities to reduce denials and protect revenue. The role requires a strong blend of financial insight, regulatory awareness, cross-functional communication, and process improvement experience within a healthcare environment.
Job Responsibility
Evaluate charge capture practices across clinical areas, identify gaps or risks, and recommend practical improvements that support accurate and timely billing
Partner with department leaders, finance teams, compliance stakeholders, and revenue cycle support groups to improve workflows and strengthen operational consistency
Use auditing and charge management tools to review work queues, investigate account issues, and support correction of billing discrepancies with measurable revenue impact
Monitor audit findings, perform root cause analysis on recurring problems, and help implement corrective actions that reduce denials and missed charges
Provide guidance and education to staff on coding-related standards, revenue codes, modifiers, pricing integrity, and internal policy expectations
Support the maintenance and governance of charge structures and related request processes, ensuring alignment with regulatory requirements and organizational standards
Prepare financial and operational reports that explain trends, quantify payment or process changes, and communicate findings to department and executive audiences
Lead or contribute to projects designed to improve revenue compliance, reporting quality, and the overall effectiveness of charge capture operations
Requirements
Experience in revenue integrity, revenue cycle, healthcare finance, or a closely related field within a clinical or hospital setting
Strong knowledge of charge capture controls, billing compliance, payer regulations, and reimbursement principles for facility and service-related operations
Ability to conduct audits, analyze findings, and translate complex financial or operational data into clear recommendations
Proficiency in reporting, research, and ad hoc financial analysis with attention to detail and accuracy
Effective communication and interpersonal skills, with the ability to work collaboratively with operational teams, finance leaders, and executive stakeholders
Experience developing or improving policies, workflows, and compliance-focused processes in a regulated environment
Comfort working with computer systems and revenue management tools used for account review, reporting, and charge oversight