Manager, Revenue Cycle

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Come see why the Johns Hopkins All Childrens Hospital is a world-renowned leader in patient care serving the greater St. Peterburgs community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers from primary visits to emergency care.

What Awaits You

Career growth and development

Diverse and collaborative working environment

Affordable and comprehensive benefits package including Tuition Reimbursement

Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link:

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Position Summary:

The Revenue Integrity Manager Professional Billing is responsible for leading and overseeing professional billing revenue integrity operations across Johns Hopkins Hospital. This role ensures accurate charge capture compliant coding practices denial prevention and optimization of reimbursement performance.

The Manager supervises a team of Revenue Integrity analysts and auditors and partners cross-functionally with physicians coding compliance IT finance billing operations and affiliate hospital partners to reduce revenue leakage and strengthen financial controls. This position plays a critical leadership role in monitoring key performance indicators implementing corrective action plans and driving continuous process improvement across the professional billing revenue cycle.

Essential Functions:

• Lead professional billing revenue integrity operations including charge capture oversight coding accuracy and denial prevention strategies.

• Supervise and develop a team of 57 direct reports including work assignment performance monitoring coaching and professional development.
• Analyze denial trends and reimbursement patterns; identify root causes and implement sustainable corrective action plans.
• Develop and maintain standardized professional billing workflows charge reconciliation processes and revenue integrity controls.
• Partner with Coding Billing Compliance IT and Clinical Operations to ensure alignment of documentation Epic workflows and payer requirements.
• Monitor and report on revenue integrity KPIs (denial rates charge lag billing accuracy reimbursement variance).
• Provide provider and department education on documentation requirements coding standards and payer policies.
• Support internal and external audits payer reviews and compliance initiatives.
• Escalate systemic revenue risks to leadership and participate in strategic revenue cycle planning initiatives.
• Oversee denial management strategy and ensure consistent follow-up and resolution of high-risk trends.

Job Requirements:

• Bachelors degree preferred. Equivalent experience may be considered.
• Active coding certification required (CPC CCS CCS-P COC or equivalent).
• Minimum 5 years of progressive experience in professional billing revenue integrity coding or revenue cycle operations.
• Minimum 3 years of leadership or supervisory experience.
• Advanced knowledge of professional billing workflows charge capture processes payer reimbursement methodologies and denial management.
• Strong understanding of CPT HCPCS ICD-10-CM and modifier application.
• Proficiency in Epic (Resolute PB Charge Router Reporting Workbench SlicerDicer) and data analysis tools.
• Demonstrated ability to analyze complex data sets and implement operational improvements.
• Strong written and verbal communication skills with ability to engage physicians operational leaders and executives.

Preferred Experience:

• Certification in healthcare compliance auditing or revenue cycle management (CPMA CHC CRCR etc.).
• Epic PB certification preferred.
• Experience leading charge capture optimization denial reduction initiatives and workflow redesign.
• Experience partnering with multi-specialty physician groups and affiliate hospital partners.
• Demonstrated success in improving reimbursement performance and reducing revenue leakage.
• Experience presenting operational and financial findings to senior leadership.

Hours:

Full time (40 hours)

Day Shift

No weekends

Location: Full-time Remote

Salary Range: Minimum 34.78/hour - Maximum 60.88/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.