Revenue Integrity Manager

3 months, 1 week ago
Full-time
Mid Level
Project and Program Management
Kodiak Solutions

Kodiak Solutions

Kodiak Solutions helps finance, revenue cycle, and compliance teams free up resources, manage mounting pressures, and reduce risk.

Diversified Financial Services

Description

  • Manage relationships with customer leaders at all levels.
  • Develop project timelines, implementation plans, communication strategies, governance frameworks, and change management plans.
  • Ensure high-quality execution of project deliverables.
  • Manage project scope against the statement of work and identify opportunities for change orders.
  • Serve as the day-to-day advisor for hospital revenue integrity initiatives, including charge capture, CDM, billing workflows, and reconciliation best practices.
  • Support automation opportunities within EMRs such as Epic, Cerner, and Meditech to reduce manual charging work.
  • Provide subject-matter expertise on CMS, Medicare/Medicaid, and commercial payer rules to support client compliance.
  • Develop and manage internal project finance processes and support customer invoicing and billing.
  • Track project benefits and maintain customer ROI reporting.
  • Coordinate project meetings and related deliverables, including agendas, minutes, action items, and follow-up.

Requirements

  • Bachelor’s degree in Business or a health-related field is required.
  • MBA, MHA, and/or MPH is highly desirable.
  • 3-6 years of healthcare experience is required.
  • Experience in clinical areas such as radiology, cardiology, perioperative services, emergency medicine, or nursing is a strong advantage.
  • Previous experience in a professional services or consulting role is essential.
  • Expertise in hospital revenue cycle management, with a focus on revenue integrity, is required.
  • Strong technical knowledge in your area of expertise is expected.
  • Relevant licensure or certifications such as RN, BSN, CCS, CPC, COC, CRCR, CIRCC, or RHIA are expected.
  • Demonstrated leadership skills and ability to manage multiple projects and cross-functional teams are required.
  • Exceptional financial and analytical skills are required.
  • Outstanding written and verbal communication skills are required.
  • Prior sales or business development experience is a plus.
  • Ability to travel up to 20% to client sites as needed is required.
  • Revenue integrity experience is a bonus point.
  • Charge capture and coding experience is a bonus point.
  • Clinical experience is a bonus point.

Interested in this position?

Apply directly on the company website

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