Manager, Revenue Integrity

Overview

The Manager of Revenue Integrity is responsible for overseeing and advancing revenue integrity programs to ensure accurate, compliant, and complete charge capture, coding, and billing within cardiovascular service lines. This role leads revenue cycle management assessments, coding and documentation reviews, audit and monitoring activities, and targeted education initiatives to identify revenue leakage, mitigate compliance risks, and improve operational performance.

This position serves as a subject-matter expert and program leader, translating regulatory requirements and audit findings into practical education, process improvements, and standardized best practices. The manager oversees revenue integrity processes and initiatives, supporting both internal operations and external member or client engagements.

Responsibilities

• Lead the design, execution, and ongoing monitoring of revenue integrity programs to support accurate, compliant, and sustainable reimbursement.
• Conduct comprehensive revenue cycle management (RCM) and revenue integrity assessments to identify workflow gaps and systemic issues contributing to revenue leakage or rework; support implementation of recommended improvements.
• Provide cardiovascular revenue cycle consulting and advisory support to cardiovascular programs, industry partners, and other stakeholders.
• Develop and deliver targeted education for providers, coders, and operational staff by:
  • Translating regulatory and payer guidance into clear, actionable education and operational standards.
  • Creating standardized education materials, job aids, and reference tools to promote consistent practices.
  • Supporting member-facing and client-facing education, training, and consulting activities as applicable.
• Support membership deliverables including content and webcasts to meet up to 20 annual CEU requirements for members.
• Participate actively in coding membership listservs, serving as a trusted advisor for revenue integrity, coding, and documentation questions.
• Support business development activities by contributing subject-matter expertise to proposals, presentations, and client discussions.
• Ensure adherence to all applicable regulatory, payer, and federal compliance requirements.
• Maintain current knowledge of cardiovascular coding, reimbursement, and regulatory updates through ongoing professional development.
• Present educational content and serve as a speaker for internal, external, member, and industry-facing forums.
• Travel as needed.

Requirements

• 7–10 years of progressive experience in revenue integrity, cardiovascular coding, auditing, and revenue cycle operations.
• Minimum of 10 years of cardiovascular or specialty coding and billing experience.
• Nationally recognized medical coding credentials such as RHIT, RHIA, CCS, CCS-P, or AAPC certified as CPC.
• Extensive knowledge of coding principles and guidelines.
• Proven experience managing and optimizing coding processes within a healthcare environment.
• High level of professionalism and credibility when collaborating with physicians, executives, and external partners.
• Experience developing and delivering content and presentations to large audiences.
• Ability to interpret regulatory guidance and translate it into operational standards and education.
• Excellent written and oral communication skills.
• Strong analytical skills.
• Proficiency with Microsoft Outlook, Excel, PowerPoint, and Word.

Compensation & Benefits

Employees enjoy comprehensive benefits including medical, dental, vision, basic life insurance, short- and long-term disability, and supplemental options. Generous paid time off includes pre-loaded vacation and sick leave, 12 holidays, an organizational shutdown during the last week of the year, parental leave, two community service days, and half-day summer Fridays. Tuition assistance and a competitive 10% retirement contribution after one year of service are also provided.

Salary offers are determined based on the role's scope and responsibilities, the candidate's experience, education, and training, as well as internal equity, market, and business considerations. Salary ranges vary depending on the local labor market where the job is performed.

Additional Information

• Selected candidates may be required to undergo a 10-panel drug screening, including cannabis, depending on assignment.
• The employer is an equal opportunity and affirmative action employer committed to diversity and inclusion. Employment decisions are based on qualifications, merit, and business need.
• Reasonable accommodations are available for qualified individuals with disabilities during the application process.

Location

Position location details will be provided during the recruitment process.