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Revenue Integrity Program Manager

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Robert Half

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Location:
United States , Sacramento

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided
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Job Responsibility:

  • Lead revenue integrity initiatives that improve charge capture accuracy, streamline operational workflows, and strengthen compliance across physician and facility billing functions
  • Partner with clinical departments, finance leaders, compliance teams, and executive stakeholders to evaluate current practices and recommend process enhancements that support revenue optimization
  • Perform prospective reviews of departmental charging activity, communicate findings, and deliver targeted education to teams responsible for documentation, coding, and charge entry
  • Oversee use of NThrive tools for charge description master maintenance, ensuring requests align with coding standards, pricing accuracy, and internal governance requirements
  • Analyze charge capture audit outcomes, investigate root causes of variances or missed revenue, and implement corrective actions that reduce recurring issues and denials
  • Review work queues and account exceptions, conduct research to resolve outstanding items, and quantify the financial impact of corrections and operational improvements
  • Prepare and present revenue performance reports for a range of audiences, including department leadership and senior executives, with clear explanations of trends, risks, and opportunities
  • Assess the effect of payer policy updates and regulatory changes on reimbursement, and translate findings into practical recommendations for departments and leadership
  • Coordinate with revenue cycle technology and operational teams on improvement tools, system-related charge capture issues, and ongoing monitoring to support compliant revenue practices

Requirements:

  • Demonstrated experience in revenue integrity, revenue cycle operations, or healthcare financial management within a complex clinical environment
  • Strong knowledge of charge capture processes, coding compliance, reimbursement principles, and payer or government billing requirements
  • Experience conducting audits, researching account issues, and performing financial analysis to measure revenue impact and identify improvement opportunities
  • Ability to manage cross-functional projects and work effectively with clinical leaders, compliance partners, finance teams, and executive stakeholders
  • Proficiency in reporting, data analysis, and presenting operational or financial findings to varied audiences
  • Familiarity with charge description master oversight, pricing integrity, and revenue-related workflow improvement practices
  • Strong problem-solving, communication, and organizational skills with the ability to prioritize multiple initiatives in a fast-paced setting
What we offer:
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
May 16, 2026

Work Type:
On-site work
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