[Hiring] Manager of Revenue Integrity @Gundersen Health System

Role Description

Emplify Health is seeking an experienced and strategic Manager of Revenue Integrity to lead the day-to-day operations of our Revenue Integrity department. This leadership role is ideal for a revenue cycle professional who combines strong operational expertise with a passion for team development, compliance, and process improvement.

As the Manager of Revenue Integrity, you will serve a team of ~13 and will be responsible for:

• Staff performance, daily operations, workflow integrity, and execution of departmental initiatives.
• Translating strategic priorities into operational excellence.
• Directing charge capture processes, chargemaster governance, regulatory compliance, Epic system optimization, and cross-functional issue resolution.
• Achieving departmental KPIs, developing staff capability, and ensuring accurate, compliant, and efficient revenue capture across all clinical service lines.

Major Responsibilities Include:

• 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, chargemaster 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 workgroups.
• 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.

Qualifications

• Bachelor's degree in healthcare, Hospital Administration, Business or related field.
• 5 years of progressive revenue cycle experience.
• 2 years of demonstrated leadership experience in health care in Revenue Cycle.
• Certification from a recognized professional coding or health information organization, such as AAPC or AHIMA.
• 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.
• 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.
• Advanced proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Teams.
• 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 team development skills.

Requirements

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

Benefits

• A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA).
• Substantial retirement contribution including a 401k match & annual discretionary base contribution.
• Paid Time Off (PTO) combines vacation, sick, and personal days into one balance.
• Support for your career growth through Professional Development Opportunities, Tuition Investment Program, and Career Development Center.
• Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, and more.