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Revenue Integrity Program Manager

United States, Sacramento · Job Posted May 27, 2026
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Job Description

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

What we offer

  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

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