Manager, Revenue Integrity jobs in United States
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American College of Cardiology · 14 hours ago

Manager, Revenue Integrity

American College of Cardiology is transforming cardiovascular care through education, innovation, and community. The Manager of Revenue Integrity is responsible for managing and advancing revenue integrity programs to ensure accurate, compliant, and complete charge capture, coding, and billing across cardiovascular service lines.

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Culture & Values

Responsibilities

Lead the design, execution, and ongoing monitoring of revenue integrity programs to support accurate, compliant, and sustainable reimbursement
Conduct comprehensive revenue cycle management (RCM) and revenue integrity assessments, identifying workflow gaps and systemic issues that contribute to revenue leakage or rework, and support implementation of recommended improvements
Provide cardiovascular revenue cycle consulting and advisory support to member and non-member cardiovascular programs, industry partners, and other stakeholders, including: Develop and deliver targeted education for providers, coders, and operational staff by: Translating regulatory and payer guidance into clear, actionable education and operational standards Creating standardized education materials, job aids, and reference tools to promote consistent practices Supporting member-facing and client-facing education, training, and consulting activities, as applicable
Support membership deliverables of content and webcast up to 20 annual CEU requirements for members
Active participation in coding membership listservs serving as a trusted advisor for revenue integrity, coding, and documentation questions
Support business development activities, including contributing subject-matter expertise to proposals, presentations, and client discussions
Ensure adherence to all applicable regulatory, payer, and federal compliance requirements
Maintain current knowledge of cardiovascular coding, reimbursement, and regulatory updates through ongoing professional development
Present educational content and serve as a speaker for internal, external, member, and industry-facing forums
Travel as needed

Qualification

Revenue integrity managementCardiovascular codingAuditingRevenue cycle operationsMedical coding credentialsCoding principles knowledgeContent developmentAnalytical skillsMicrosoft Office proficiencyCommunication skills

Required

Minimum of 7 years of progressive experience in revenue integrity, cardiovascular coding, auditing, and revenue cycle operations
High level of professionalism and credibility when collaborating with physicians, executives, and external partners
Experience developing and delivering content and presentations to large audiences
Ability to interpret regulatory guidance and translate it into operational standards and education
Minimum of 10 years of cardiovascular or specialty coding and billing experience
Nationally recognized medical coding credentials such as: RHIT, RHIA, CCS, CCS-P, or AAPC certified as CPC
Extensive knowledge of coding principles and guidelines
Proven experience in managing and optimizing coding processes within a healthcare environment
Excellent written and oral communication skills
Excellent analytical skills
Knowledge of Microsoft Outlook, Excel, PowerPoint, and Word

Benefits

Insurance (medical, dental, vision, basic life, and short- and long-term disability, and supplemental options)
Generous paid time off (pre-loaded vacation and sick, 12 holidays and an organizational shut-down during the last week of the year, parental leave, 2 community service days, and half-day summer Fridays)
Tuition assistance
A very competitive 10% retirement contribution after a year of service

Company

American College of Cardiology

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The American College of Cardiology, a 49000-member nonprofit medical society.

Funding

Current Stage
Late Stage

Leadership Team

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John Rumsfeld
Chief Science and Quality Officer
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