Manager Revenue Integrity

Trinity Health

. Provide leadership and day-to-day operational management for local hospital revenue integrity functions .

Posted 11/9/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $42 - $63 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in revenue integrity management, including charge description master oversight, denial management, and compliance with payer contracts. Proven ability to lead teams, optimize revenue performance, and implement effective training and education programs.

Highest-signal resume keywords

Revenue Cycle Operations ManagementDenial ManagementCharge Description Master OversightRegulatory Compliance KnowledgeData Analysis and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Revenue IntegrityDenial PreventionCoding AuditsMedical NecessityData CollectionDRG KnowledgeAPC KnowledgeOPPS KnowledgePrebill EditsCharge Control Processes

Soft Skills

LeadershipCollaborationMotivationProblem ResolutionCommunication

Certifications & Qualifications

RHIARHITCCSCPC/COCCDC

Industry Keywords

Healthcare Revenue CyclePayer ContractsMulti-Facility ManagementCompliance PoliciesInterdisciplinary Collaboration

About the role

Key responsibilities & impact

Provide leadership and day-to-day operational management for local hospital revenue integrity functions
Motivate staff to achieve high performance and collaborate with stakeholders to prevent revenue leakage and maximize regional revenue
Manage the Charge Description Master, pre-bill edits, root cause analysis, denials coordination with PBS, complex case denials, denial prevention, audits, and education and training
Manage revenue optimization opportunities, including charge control processes
Optimize staff and revenue performance through process redesign, policy and procedure implementation, communications, continuing education, professional development, empowerment, and feedback
Ensure understanding and application of payer contract terms and alignment with processes
Monitor Medicare, Medicaid, and other payer websites and newsletters for changes affecting charging, coding, and billing; apply updates for compliance and revenue optimization
Coordinate denials from the Patient Business Service center, ensure timely resolution, identify root causes, and participate in multidisciplinary denial teams
Collaborate across departments to address denial and pre-bill edit causes and optimize revenue
Prepare and conduct education related to audit findings, regulatory changes, coding updates, and managed care billing requirements
Develop colleague schedules and manage team projects and interdisciplinary relationships
Involve interdisciplinary and medical staff in decision-making and coordinate problem resolution and corrective action
Assess department development needs and promote professional development, orientation, and continuing education
Hire employees, allocate resources, conduct performance appraisals, provide feedback, mentor and coach colleagues, and manage disciplinary processes
Analyze and display data, develop policies and business documentation, conduct special studies, and prepare management reports and KPIs
Maintain knowledge of applicable laws, regulations, and Trinity Health compliance policies and Code of Conduct

Requirements

What you’ll need

Bachelor's degree in finance, Business Administration or related field and a minimum of 5 to 7 years of progressively responsible experience in revenue cycle operations, including revenue integrity, or equivalent combination of education and progressive revenue cycle experience
Minimum of 3 years of management experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience
Knowledge and experience in revenue integrity at an acute practice
Strong understanding of appeals, denial management, medical necessity, and coding audits
Ability to read medical charts and dictation and correlate services to charges on claim forms (UB and/or 1550 forms)
RHIA, RHIT, CCS, CPC/COC or other coding credentials preferred
CDC (Healthcare Compliance Certification) preferred
Experience in Charge Description Master (CDM) maintenance or oversight preferred
Ability to organize, plan, and manage staff in Revenue Integrity and Optimization activities of a large healthcare acute and professional billing organization
Knowledge of laws and payer contracts governing billing of hospital and/or physician services
Ability to work effectively with physicians, clinicians, office managers, administrators, third party payers, governmental agencies and colleagues
Ability to understand and interpret complex issues and clinical processes and recommend improvements
Experience with data collection, analysis, and written reports and proposals
Strong knowledge of DRG, APC, OPPS reimbursement structures and prebill edits including OCE/CCI edits and DNFB
Ability to thrive in a fast-paced, multi-customer environment with conflicting needs and potentially varied and extended hours

Benefits

Comp & perks

Work Remote Position
Continuing education and professional development activities
Colleague orientation and continuing education opportunities
Equal Opportunity Employer