Manager, Revenue Integrity - Revenue Cycle - Full Time
About The Position
The Manager, Revenue Integrity provides leadership and operational oversight for Charge Description Master (CDM) governance, charge capture processes, and revenue reconciliation activities. This role ensures accuracy, compliance, and the integrity of revenue cycle operations while supporting organizational financial performance. The Manager drives the tactical execution of departmental goals by equipping teams with the knowledge, tools, and workflows needed to navigate complex payer requirements, regulatory standards, and system functionality. This role also leads performance monitoring, process improvement, and cross‑department collaboration to reduce revenue leakage and strengthen operational excellence.
Requirements
- Education: Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field OR an additional 4 years of required experience may substitute for a degree.
- Licensure/Certification: Revenue Cycle industry certification required (CRCR, CHFP, HFMA, Epic, and/or CHAM).
- Experience: Minimum of 7 years of experience in Revenue Cycle operations.
- Epic Revenue Cycle application experience required.
- Knowledge & Skills: Knowledge of end‑to‑end revenue cycle operations, CDM, medical terminology, and insurance/managed care regulations.
- Proficiency in Microsoft Office (Word, PowerPoint, Excel) and Epic.
- Ability to work independently and collaboratively.
- Strong facilitation, coaching, and analytical skills.
- Ability to multitask, manage competing priorities, and make decisions in rapidly changing situations.
Responsibilities
- Develop, implement, and manage policies, procedures, and workflows supporting accurate CDM maintenance and charge capture processes.
- Oversee a service-line–based Charge Review program to identify charge capture issues and drive improvements.
- Monitor daily workflow prioritization to ensure established metrics, benchmarks, and KPIs are consistently achieved.
- Ensure compliance with organizational policy, payer requirements, and regulatory standards.
- Support systemwide process improvement initiatives and change‑management efforts related to new workflows, technologies, and strategic priorities.
- Conduct ongoing performance monitoring and implement corrective actions as needed.
- Leverage reporting tools and analytics to evaluate performance, identify operational gaps, and drive accountability.
- Maintain up‑to‑date knowledge of payer policies and translate updates into clear workflows and education.
- Provide onboarding and ongoing professional development for staff.
- Serve as a trusted resource for revenue cycle operations, payer requirements, and system functionality.
- Offer supervision, coaching, and performance feedback to assigned staff; identify training needs through data and workflow analysis.
- Foster a collaborative team culture aligned with organizational values.
- Participate in organizational work groups and committees.
- Master new software applications quickly and independently.
- Perform other duties as assigned.
Benefits
- Southern NH Medical Center is a 5-time Magnet designated hospital
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Medical, dental, and vision coverage
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & paid training for continued career progression & So much more!
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What This Job Offers
Job Type
Full-time
Career Level
Manager
