Jobs in the United States

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VH
Peer Specialist
Veterans Health Administration
San Antonio, TX
- $46,076 to $81,423 USD / year
For a GS-06 position you must have served 52 weeks at the GS-05 · The grade may have been in any occupation, but must have been held in the Federal service
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VH
Pharmacy Technician (Procurement)
Veterans Health Administration
Tomah, WI
- $59,911 to $77,882 USD / year
Candidates must possess one year of experience equivalent to the next lower grade level (GS-7)
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IT Specialist (CUSTSPT) (Service Branch Director Type II)
Federal Emergency Management Agency
Bothell, WA · Oakland, CA · Philadelphia, PA
- $56 to $83 USD / hour
This position is being announced under FEMA's Incident Management Assistant Team (IMAT) Program. This is a 2-year temporary appointment in the Excepted service. This position is located on…
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VH
Inventory Management Specialist NX
Veterans Health Administration
Saint Louis, MO
- $51,740 to $82,279 USD / year
For a GS-07 position you must have served 52 weeks at the GS-05 · For a GS-09 position you must have served 52 weeks at the GS-07
Added 2 mins ago
VH
Pharmacy Technician (Procurement/Inventory)
Veterans Health Administration
Iowa City, IA
- $61,722 to $80,243 USD / year
…inventory based on patient care needs and historical utilization…
Added 2 mins ago
VH
Pharmacy Technician (Procurement/Inventory)
Veterans Health Administration
Iowa City, IA
- $61,722 to $80,243 USD / year
…inventory based on patient care needs and historical utilization…
Added 2 mins ago
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SUPERVISORY MEDICAL SUPPORT ASSISTANT
Veterans Health Administration
Fort Wayne, IN
- $57,811 to $75,151 USD / year
Applies knowledge of medical terminology, clinic procedures, ambulatory and inpatient care, call center operations, patient advocacy, enrollment and eligibility, beneficiary travel, revenue…
Added 2 mins ago
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Patient Relations Assistant
Veterans Health Administration
West Palm Beach, FL
- $43,384 to $56,399 USD / year
For a GS-05 position you must have served 52 weeks at the GS-04 · The grade may have been in any occupation, but must have been held in the Federal service
Added 2 mins ago
VH
Electronic Industrial Controls Mechanic
Veterans Health Administration
West Palm Beach, FL
- $38 to $44 USD / hour
West Palm Beach VA Medical Center is looking for Electronic Industrial Controls Mechanic. This position report to Environmental Management (EMS} which consists of two departments; Laundry…
Added 2 mins ago
VH
Registered Nurse - Patient Safety Manager
Veterans Health Administration
Canandaigua, NY
- $74,106 to $129,998 USD / year
The Patient Safety Manager Registered Nurse demonstrates leadership, detailed planning, professional communication, creative and innovative approaches to improve patient safety program…
Added 2 mins ago
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Physician - Pain Management
Veterans Health Administration
Pittsburgh, PA
- $350,000 to $400,000 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 2 mins ago
VH
Supervisory Health Technician (Telehealth Clinical)
Veterans Health Administration
Los Angeles, CA · Bakersfield, CA · Antelope, CA · Commerce, CA · Ventura, CA
- $71,957 to $93,549 USD / year
…level support, training, and advanced management of telehealth operations and is typically stationed at a clinical care delivery site (VA Medical Center, CBOC, VA Outreach Clinic, etc.);…
Added 2 mins ago
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Medical Management Specialist
Veterans Health Administration
Nashville, TN
- $74,678 to $97,087 USD / year
For a GS-11 position you must have served 52 weeks at the GS-9 · The grade may have been in any occupation, but must have been held in the Federal service
Added 2 mins ago
US
Program Analyst (MWR Programs), NF-05
United States Army Installation Management Command
Pentagon, Arlington, VA
- $135,000 to $145,000 USD / year
A qualified candidate must possess the following: · Must possess good oral communication and writing skills
Added 4 mins ago
VH
Medical Support Assistant (Advanced)
Veterans Health Administration
Charlotte Hall, MD · Washington, DC
- $59,102 to $76,832 USD / year
…coordinated care delivery model (i.e. PACT, Specialty, C&P, Call Center, and CBOC's). Incumbent is responsible for the daily oversight of the area in which they are assigned, providing…
Added 4 mins ago
VH
Medical Support Assistant (Advanced) - Specialty Care
Veterans Health Administration
Fargo, ND
- $45,409 to $59,031 USD / year
…deemed at least equivalent to that gained in a conventional U.S. program by a private organization specializing in the interpretation of foreign educational…
Added 4 mins ago
VH
Medical Support Assistant (Advanced) - Specialty Care
Veterans Health Administration
Fargo, ND
- $45,409 to $59,031 USD / year
…deemed at least equivalent to that gained in a conventional U.S. program by a private organization specializing in the interpretation of foreign educational…
Added 4 mins ago
VH
Registered Nurse - Patient Care Coordinator (General Surgery)
Veterans Health Administration
Cleveland, OH
- $82,275 to $151,235 USD / year
…for all elements of the nursing process, including systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health…
Added 4 mins ago
VH
Dental Assistant
Veterans Health Administration
Lebanon, PA
- $46,328 to $60,226 USD / year
The position is located in the Dental Department of the Surgery Care Line at the Lebanon VA Medical Center. The assistant enhances the dentist's capabilities by facilitating patient care in…
Added 7 mins ago
VH
Environmental Services Technician
Veterans Health Administration
Cheyenne, WY
- $18 to $22 USD / hour
This position is located within the Environmental Management Services Division of a VA Medical Center. This position is under the direct supervision of the Housekeeping Supervisor or…
Added 7 mins ago
VH
Medical Records Administrator Specialist
Veterans Health Administration
West Palm Beach, FL
- $79,533 to $103,399 USD / year
…duties and responsibilities carried out throughout the Medical Center. MRAS provides health information and medical record professional consultation and administrative assistance to the…
Added 7 mins ago
VH
Supervisory Medical Instrument Technician - Polysomnography
Veterans Health Administration
Washington, DC
- $77,771 to $101,097 USD / year
The Registered Polysomnographic Technologist (RPSGT) serves as the supervisory medical technologist in the Sleep Program, oversees the Sleep Lab to ensure it is maintained at an optimal…
Added 7 mins ago
VH
Supervisory Health System Specialist
Veterans Health Administration
Durham, NC
- $93,468 to $121,511 USD / year
Such a training program must have been conducted in an operating health care system and included:
Added 7 mins ago
VH
Physician (Regular Ft)- Director of Headache Center of Excellence (HCoE)
Veterans Health Administration
Baltimore, MD
- $257,250 to $350,000 USD / year
…expertise in Headache Medicine to serve as Director of the Headache Center of Excellence (HCoE). The Director will guide clinical operations, education, quality improvement, research…
Added 7 mins ago
VH
Physician (Regular Ft)- Director of Headache Center of Excellence (HCoE)
Veterans Health Administration
Baltimore, MD
- $257,250 to $350,000 USD / year
…expertise in Headache Medicine to serve as Director of the Headache Center of Excellence (HCoE). The Director will guide clinical operations, education, quality improvement, research…

Manager Revenue Integrity (Remote)

Livonia, MI, United States

.(Salary Range: $42.2592-63.3888) Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states.

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Job details

Pay: .(Salary Range: $42.2592-63.3888) Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states.
Posting language: English
Posted: Nov 8, 2026

Original job description

Employment Type:

Full timeShift:

Day Shift

Description:

Position Purpose:

Work Remote Position Provides leadership and day-to-day operational management and direction for the local hospital(s) revenue integrity functions. Responsible for motivating staff to achieve the highest levels of performance, working in conjunction with all key stakeholders to prevent revenue leakage and maximize potential revenue for the region. Manages Charge Description Master (CDM), pre-bill edits, root cause analysis, denials coordination with PBS, including complex case denials, denial prevention, audits, and education and training of multi-disciplinary hospital teams. Manages revenue optimization opportunities which may include charge control processes. Responsible for optimizing staff and overall revenue performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and feedback. As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Works with Revenue Integrity and Payer Strategies leadership to ensure understanding of payer contracts, application of contract terms and ensures alignment with processes.
Monitors Medicare and Medicaid websites, as well as other -payer websites and newsletters for changes impacting charging, coding and billing. Manages the process to apply updates and ensure compliance and revenue optimization.
Manages the coordination of denials received from Patient Business Service (PBS) center; ensures staff timely resolution and identification of denials' root cause. Works with PBS and other Revenue Integrity leaders to create and participate in ongoing multi-disciplinary denial team.
Manages and may perform the root cause analysis on denials and pre-bill edits and collaborates with inter and intra-departmental teams to implement process and/or identify system intersection opportunities to address cause and optimize revenue.
Prepares and conducts educational services to departments and staff pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes.
Manages the development of colleague work schedules to ensure cost effective staffing that meets customer requirements and quality performance. Manages team projects, fosters interdisciplinary and intra department collaborative relationships, and promotes active participation.
Elicits feedback from interdisciplinary team, including the medical staff, and involves them in decision-making as appropriate. Ensures problem resolution and corrective action for long-term solution, coordinating such effort across the intra and inter-departmental channels.
Formally assesses the developmental needs of the department on a periodic basis and promotes opportunities for development in independent decision-making, effective communications and interpersonal relations to ensure customer satisfaction in conjunction with Trinity Health’s core values and to foster team spirit.
Identifies and implements opportunities for colleagues to increase knowledge base, advance practice and enhance professionalism through colleague orientation and continuing education opportunities May manage some degree of training to meet goals.
Responsible for hiring employees and allocation of resources based on scope of goals and priorities. Monitors and conducts performance appraisals, including review and approval of performance goals, manages regular ongoing performance feedback and may terminate positions when necessary.
Provides feedback in a prompt, direct and positive manner; mentors and coaches colleagues to ensure positive outcomes. Provides counseling and/or conflict resolution regarding unresolved performance issues, demonstrating effective use of the disciplinary process
Analyzes and displays data in meaningful formats; develops and communicates policies/procedures and other business documentation; manages and conducts special studies and prepares management reports, including Key Performance Indicators as they relate to the department.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

QUALIFICATIONS

Must possess a comprehensive knowledge of Hospital and Physician practice operation, as normally acquired through the completion of bachelor's degree in finance, Business Administration or related field and a minimum of (five) 5 to (seven) 7 years of progressively responsible experience in revenue cycle operations, including revenue integrity, or equivalent combination of education and progressive revenue cycle experience.
Minimum of three (3) years of management experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience.
Knowledge and experience in revenue integrity at an acute practice.
Strong understanding of appeals, denial management, medical necessity, and coding audits with ability to read medical charts and dictation and correlate services to charges on the claim forms (UB).
Licensure/Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials preferred CDC (Healthcare Compliance Certification) preferred. Experience in Charge Description Master (CDM) maintenance or oversight preferred.
Ability to organize, plan, and manage staff in Revenue Integrity and Optimization activities of a large healthcare acute and professional billing organization.
Knowledge of laws and payer contracts governing billing of hospital and/or physician services.
Demonstrated ability to work effectively with a diverse group of people including physicians, clinicians, office managers, administrators, third party payers, governmental agencies and colleagues.
Ability to understand and interpret complex issues and clinical processes and recommend improvements.
Experienced with data collection, analysis, and providing written reports, proposals incorporating findings.
Ability to read medical charts and dictation, understand services performed and correlate those services to charges on the claim forms (UB and/or 1550 forms).
Strong knowledge of Diagnosis Related Group (DRG), Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Not Final Billed (DNFB).
Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.

.(Salary Range: $42.2592-63.3888) Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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Jobs in the United States