Manager, Revenue & Charge Integrity

City/State

Work Shift

Overview:

Sentara Health is seeking to hire a qualified individual to join our team as a Manager, Revenue & Charge Integrity

Work Type: Full-time, Day Shift Standard Hours: 8:00 AM – 5:00 PM (ET) Location: Fully Remote

Overview

Sentara Health is seeking a Manager, Revenue & Charge Integrity to lead a high-profile team responsible for the ongoing maintenance and development of the Charge Description Master (CDM) across Sentara hospitals and Sentara Physician Group, and for charge capture structures/methodologies in Epic. The manager ensures CDM items accurately reflect chargeable/billable services; initiates and coordinates code/charge changes (CPT/HCPCS); and partners closely with clinical areas, Patient Accounting, Provider Operations, and other internal stakeholders to drive quality, service, and financial accuracy. This role plans and executes post-implementation audits, builds and sustains training and quality programs, monitors regulatory changes, and leads complex revenue cycle projects. Success requires excellent communication, stakeholder management, project leadership, and the ability to influence across teams while meeting deadlines.

Education

Bachelor’s Degree (Required)

Master’s Degree (Preferred)

Certification/Licensure

No specific certification or licensure requirements Preferred: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS); Registered Nurse (RN) a plus

Experience

• 5+ years in Revenue Integrity/Chargemaster/Revenue Cycle with hands-on Epic charge capture/build experience

• 5+ years experience with Epic EMR systems (build, testing, charge capture workflows)

• 3+ years in healthcare operations with demonstrated team leadership (recruiting, mentoring, coaching, performance management)

• Advanced knowledge of CPT/HCPCS and Medicare regulatory guidelines; proven success initiating and implementing code/charge changes and managing cross-functional communications

• Demonstrated results in quality and compliance auditing, developing training materials and a Quality Audit Program, and partnering with Patient Accounting to address denials/billing errors promptly

.

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$92,248.00-$153,753.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Keywords : revenue& charge Integrity, Certified Professional Coder (CPC) or Certified Coding Specialist (CCS); Registered Nurse (RN) #Linkedln

Benefits: Caring For Your Family and Your Career

•Legal Resources Plan

•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work,Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Originally posted on Himalayas