Manager, Revenue Integrity

Love + medicine is who we are, it's what we do, it's why people want to work here.

Scheduled Weekly

Hours:

40. We’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future.

Join us and find out how a little empathy changes everything. Emplify Health is seeking an experienced and strategic Manager of Revenue Integrity to lead the day-to-day operations of our Revenue Integrity department.

• Direct and oversee daily operational workflows, work queues, and departmental processes to ensure timely, accurate, and compliant revenue integrity operations.
• Establish, monitor, and report on departmental KPIs aligned to revenue goals; develop corrective action plans and performance improvement initiatives in response to variances.
• Oversee the department's internal audit program, ensuring the team conducts consistent, timely audits in compliance with payer and regulatory billing requirements.
• Direct charge capture operations, charge master governance, and revenue recovery efforts, including oversight of annual pricing reviews, code set updates, and charge ticket accuracy.
• Lead the new service line onboarding process, coordinating billing structure design, charge ticket development, payer policy validation, and compliance review prior to clinical go-live.
• Collaborate with clinical, coding, finance, and operational leaders to identify and resolve revenue cycle issues; serve as the department's primary representative in cross‑functional committees and work groups.
• Develop and communicate operational performance reports to the Director and key stakeholders, translating data trends into actionable recommendations for process improvement.
• Develop and implement revenue integrity strategies across all clinical areas, partnering with the Director to translate organizational priorities into operational improvements that reduce revenue leakage.
• Manage departmental budgets and resources, monitoring expenditures against plan and recommending adjustments to the Director regarding staffing, technology, and resource allocation.

• 1.0 FTE
  
  Schedule:
  
  Monday-Friday
• Days typically 8:00am-5:00pm
• Location:
  
  Remote eligible role. This position can be filled for residents of WI, MN, or IA. May be occasional travel between the La Crosse, WI and Green Bay, WI regions.
• Compensation:
  Starting at $87,000 with opportunity for higher pay based on relevant work experience

• Education:
  
  Bachelor's degree in healthcare, Hospital Administration, Business or related field.
• Experience:
  
  5 years of progressive revenue cycle experience and 2 years of demonstrated leadership experience in health care in Revenue Cycle, Required.
• Certification/ License:
  Certification from a recognized professional coding or health information organization, such as AAPC or AHIMA, Required.
• Advanced knowledge of healthcare revenue cycle operations, including charge capture, billing, coding, reimbursement, and denial management.
• Experience leading Revenue Integrity functions within a large health system.
• Advanced proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Teams.
• Strong analytical skills with experience using data visualization and reporting tools such as Epic Reporting Workbench, Cogito, Tableau, Power BI, or SQL-based reporting platforms.
• Strong organizational, time management, and multitasking skills with exceptional attention to detail.
• Demonstrated ability to handle confidential and sensitive information with professionalism and discretion.
• Exceptional communication, presentation, change management, and…