Revenue Integrity Operations Manager Position Available In Orange, Florida

Position Summary Revenue Integrity Operations ManagerOrlando, FL | Full-Time Orlando Health is seeking a detail-oriented and strategic Revenue Integrity Operations Manager to lead efforts in ensuring accurate, compliant, and optimized revenue cycle operations. This role is key to identifying revenue opportunities, implementing regulatory updates, and guiding a team of professionals across multiple departments.

Key Responsibilities:

Oversee charge capture, pricing compliance, and revenue reporting processesLead and mentor a team of managers, liaisons, and coordinatorsCollaborate with clinical, financial, and IT teams to improve workflowsMonitor Medicare, Medicaid, and payer regulations to ensure compliancePrepare executive summaries, dashboards, and performance reports

Essential Functions:

Assigns and monitors staff workload to ensure goals are met on time and within budget and regulatory guidelines through approved methods and standards.

Assists in annual budget projection and works within finalized budget and capital approvals.

Provides resources as appropriate to assist other areas in the Revenue Cycle to complete projects.

Delegates special projects providing realistic goals, timelines, resources, and adjusting for unforeseen opportunities.

Establish guidelines for process improvements to ensure stages are documented, approved, communicated, and implemented.

Ensure delivery of Executive Summaries to all appropriate parties in the revenue cycle team.

Provides clear vision, direction, planning, and support to direct reports.

Collaborate with all team members, Site Administration, CFO s and Managers within all revenue producing departments.

Recruits and retains qualified staff members to ensure visibility of the department at all locations.

Provides mentoring and career development to direct and/or indirect reports within the Revenue Integrity Department.

Encourages direct reports to work collaboratively with IS, Nursing and Revenue Management leadership in the process improvement and implementation of charge capture opportunities.

Develops relationships with various committees and groups to ensure continuity in processes that increase revenue capture.

Communicates and interfaces professionally with other Managers and team members in the Revenue Integrity Department.

Identifies communication opportunities to minimize overlap of processes and enhance workflow.

Empowers team and build trust by leading through integrity, impartiality, and responsiveness.

Trains team to assist departments on daily charge capture, and reconciliation processes.

Oversee all pricing and compliance methodologies are applied to charges according to regulations and corporate financial guidelines.

Oversee Education and Training, as it pertains to the revenue cycle, charge capture, and analytics.

Reports capture successes as they occur in entering areas.

Directs an annual review of departments whose charges are grouped by APC, relative weight or any other level assignment to ensure validity of charging practices.

Ensure revenue neutrality is maintained through performance of a gross/net revenue impact analysis on any change in charging practices.

Responsible for communicating process changes to all appropriate staff members in a timely manner to avoid confusion.

Oversees implementation of all regulatory alerts, updates and Chargemaster changes.

Ensure direct reports grasp the impact of changes, expected outcomes, and follow necessary steps in management revenue processes.

Prepare revenue dashboards and reports for various audiences and updates as needed.

Manages various human resources functions including hiring, work assignments, coaching, training and development, and performance improvement plans.

Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

Maintains compliance with all Orlando Health policies and procedures.

Qualifications:

Bachelor s degree in business, finance, healthcare, or related field (Associate s and below experience may substitute)5+ years in hospital revenue cycle operations2+ years in a leadership or management roleStrong knowledge of Medicare/Medicaid billing and regulatory complianceCoding certification or healthcare license preferred Why Join Orlando Health?

At Orlando Health, we live by our

Four Cs:

Commitment to Excellence•We strive for the highest standards in everything we do.

Compassionate Care•We treat every patient and team member with empathy and respect.

Collaboration•We work together across departments to drive innovation and results.

Community•We re deeply rooted in the communities we serve and give back in meaningful ways. Join a mission-driven team where your leadership will directly impact financial integrity and patient care excellence.