Revenue Integrity Program Manager
We are looking for a Revenue Integrity Program Manager to support revenue cycle performance and compliance initiatives for clinical and physician service lines in Sacramento, California. This Long-term Contract position will focus on strengthening charge capture accuracy, improving financial outcomes, and helping operational leaders identify opportunities to reduce denials and protect revenue. The role requires a strong blend of financial insight, regulatory awareness, cross-functional communication, and process improvement experience within a healthcare environment.<br><br>Responsibilities:<br>• Evaluate charge capture practices across clinical areas, identify gaps or risks, and recommend practical improvements that support accurate and timely billing.<br>• Partner with department leaders, finance teams, compliance stakeholders, and revenue cycle support groups to improve workflows and strengthen operational consistency.<br>• Use auditing and charge management tools to review work queues, investigate account issues, and support correction of billing discrepancies with measurable revenue impact.<br>• Monitor audit findings, perform root cause analysis on recurring problems, and help implement corrective actions that reduce denials and missed charges.<br>• Provide guidance and education to staff on coding-related standards, revenue codes, modifiers, pricing integrity, and internal policy expectations.<br>• Support the maintenance and governance of charge structures and related request processes, ensuring alignment with regulatory requirements and organizational standards.<br>• Prepare financial and operational reports that explain trends, quantify payment or process changes, and communicate findings to department and executive audiences.<br>• Lead or contribute to projects designed to improve revenue compliance, reporting quality, and the overall effectiveness of charge capture operations.
• Experience in revenue integrity, revenue cycle, healthcare finance, or a closely related field within a clinical or hospital setting.<br>• Strong knowledge of charge capture controls, billing compliance, payer regulations, and reimbursement principles for facility and service-related operations.<br>• Ability to conduct audits, analyze findings, and translate complex financial or operational data into clear recommendations.<br>• Proficiency in reporting, research, and ad hoc financial analysis with attention to detail and accuracy.<br>• Effective communication and interpersonal skills, with the ability to work collaboratively with operational teams, finance leaders, and executive stakeholders.<br>• Experience developing or improving policies, workflows, and compliance-focused processes in a regulated environment.<br>• Comfort working with computer systems and revenue management tools used for account review, reporting, and charge oversight.
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- Sacramento, CA
- remote
- Temporary / Contract
-
74 - 84 USD / Hourly
- We are looking for a Revenue Integrity Program Manager to support revenue cycle performance and compliance initiatives for clinical and physician service lines in Sacramento, California. This Long-term Contract position will focus on strengthening charge capture accuracy, improving financial outcomes, and helping operational leaders identify opportunities to reduce denials and protect revenue. The role requires a strong blend of financial insight, regulatory awareness, cross-functional communication, and process improvement experience within a healthcare environment.<br><br>Responsibilities:<br>• Evaluate charge capture practices across clinical areas, identify gaps or risks, and recommend practical improvements that support accurate and timely billing.<br>• Partner with department leaders, finance teams, compliance stakeholders, and revenue cycle support groups to improve workflows and strengthen operational consistency.<br>• Use auditing and charge management tools to review work queues, investigate account issues, and support correction of billing discrepancies with measurable revenue impact.<br>• Monitor audit findings, perform root cause analysis on recurring problems, and help implement corrective actions that reduce denials and missed charges.<br>• Provide guidance and education to staff on coding-related standards, revenue codes, modifiers, pricing integrity, and internal policy expectations.<br>• Support the maintenance and governance of charge structures and related request processes, ensuring alignment with regulatory requirements and organizational standards.<br>• Prepare financial and operational reports that explain trends, quantify payment or process changes, and communicate findings to department and executive audiences.<br>• Lead or contribute to projects designed to improve revenue compliance, reporting quality, and the overall effectiveness of charge capture operations.
- 2026-05-29T00:00:00Z