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Revenue Integrity Manager
Job Location:
Monthly Salary:
Posted:
19 October 2026 (Yesterday)
Posted:
Application Deadline:
16 January 2027
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
- Lead and manage Revenue Integrity operations ensuring accurate charge capture coding billing and reimbursement processes.
- Oversee the maintenance and governance of the Charge Description Master (CDM) including code updates pricing changes and regulatory compliance.
- Ensure proper mapping of charge codes and billing workflows within the hospital information system.
- Develop and implement charge audit reconciliation and monitoring processes to identify revenue leakage and improve revenue capture.
- Conduct financial and operational reviews to assess charge capture accuracy and billing completeness.
- Ensure compliance with payer requirements healthcare regulations and coding standards including CPT HCPCS and DRG methodologies.
- Collaborate with clinical finance revenue cycle billing and insurance departments to improve revenue cycle performance.
- Lead cross-functional initiatives focused on revenue enhancement operational efficiency and process improvement.
- Oversee pricing structures and support the preparation of patient and payer cost estimates.
Requirements
Qualifications
- Bachelors degree in Healthcare Administration Health Information Management Finance Accounting Business Administration or a related field.
- Masters degree preferred.
- Professional certification such as CPC CCS RHIA RHIT CHFP or equivalent preferred.
- Strong knowledge of healthcare revenue cycle operations coding compliance and reimbursement methodologies.
Requirements
- Minimum 5-7 years of progressive experience in Revenue Cycle Revenue Integrity Patient Financial Services Healthcare Finance or related healthcare operations.
- Demonstrated experience managing Charge Description Master (CDM) processes and charge capture programs.
- Strong knowledge of CPT HCPCS DRG revenue codes and payer reimbursement methodologies.
- Experience with healthcare information systems preferably Cerner or equivalent electronic health record and billing platforms.
- Excellent analytical auditing and problem-solving skills.
- Strong leadership and stakeholder management capabilities.
- Ability to lead multidisciplinary teams and drive process improvement initiatives.
- Excellent communication and presentation skills.
About Company
Madre Integrated Engineering
601 employees
Being an active member of the United Nations Global Compact since March 2013, Madre Integrated Engineering w.l.l supports the principles of the Global Compact with respect to human rights, labor, environment, and anti-corruption.
