Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components: patient care, education and research that together enhance our contribution to society.

The Manager of Revenue Integrity provides operational, technical, and strategic leadership for the Revenue Integrity team. This position is responsible for leading daily operations and ensuring accurate, timely, and compliant charge capture for hospital and professional services. The Manager oversees the maintenance and optimization of charge masters, fee schedules, billing and cost-center tables, charge methodologies, charge-related rules, work queues, and related workflows.

The Manager leads the team's support of Epic functionality, upgrades, optimizations, testing, and go-lives that affect charge capture and billing. This position monitors operational performance, prioritizes work, resolves escalated issues, and identifies opportunities to improve revenue capture, billing accuracy, compliance, and efficiency. The Manager also tracks regulatory and payer requirements and helps ensure that charging practices and system functionality remain current and compliant.

The Manager is responsible for staff supervision, coaching, performance management, training, and professional development. This position works collaboratively with Providers, Nursing, Clinical Department Management, HITS MiChart teams, Finance, and Revenue Cycle leadership and teams, including Billing, Coding, Health Information Management, Reimbursement, Compliance, Patient Business Services, Audit and Appeals, and Revenue Analytics. The successful candidate will have strong leadership, analytical, technical, problem-solving, organizational, and communication skills and be able to lead complex initiatives in a collaborative environment.

• Lead the daily operations of the Revenue Integrity team, including workload assignment, prioritization, resource planning, staff supervision, coaching, performance management, training, and professional development.
• Establish team priorities and operational goals aligned with Revenue Cycle and Michigan Medicine objectives.
• Oversee the build, maintenance, accuracy, and governance of hospital and professional charge masters and fee schedules.
• Oversee the maintenance of the Hourly and Daily Bed Charge Billing Table, Cost Center Assignment Table, Cost Center Table, and other charge-related master files.
• Provide oversight of charge methodologies, including charge capture procedure lists, flowsheets, bed status and patient class processes, levels of service, and other automated or manual charge-capture workflows.
• Oversee the design, build, testing, implementation, and maintenance of charge-related router, claims, and Revenue Guardian rules and edits.
• Oversee relevant work queues and monitor volumes, trends, aging, turnaround times, and claim impacts. Direct corrective action and process improvement when needed.
• Collaborate with clinical, operational, technical, financial, and Revenue Cycle teams to identify and resolve complex charge-capture, workflow, system, and billing issues.
• Investigate escalated charging issues and ensure that root-cause analyses, impact assessments, and sustainable corrective actions are completed.
• Identify areas of missed, delayed, duplicate, or inappropriate hospital and professional revenue through financial and billing data analysis, work-queue trends, audits, and reviews of clinical, charge-capture, and billing workflows.
• Work with Providers, Nursing, Clinical Department Management, HITS MiChart teams, Finance, and Revenue Cycle partners to design and implement charge-capture improvements.
• Provide leadership and subject-matter expertise for Epic upgrades, optimizations, implementations, testing, and go-lives affecting charge capture and billing.
• Monitor implementations and evaluate outcomes to confirm that changes improve performance and support accurate and compliant charge capture.
• Track and evaluate regulatory and payer requirements affecting charge capture and billing. Coordinate required changes to systems, workflows, edits, and staff education.
• Support departments in understanding and applying institutional, governmental, and payer charging requirements.
• Develop and monitor operational measures and reports related to work-queue performance, charge lag, edit trends, claim submission, project progress, and other relevant indicators.
• Lead or support charge audits, ad hoc analyses, reporting, corrective-action efforts, and revenue-cycle improvement initiatives.
• Serve as the escalation point for complex charging, system, workflow, and departmental support issues.
• Establish effective controls, documentation, testing standards, and change-management processes for charge-related system and workflow changes.
• Promote collaboration and consistent practices across Revenue Integrity and its clinical, technical, financial, and Revenue Cycle partners.
• Provide updates and recommendations to Revenue Cycle leadership regarding operational performance, risks, compliance concerns, staffing needs, and improvement opportunities.
• Perform other duties and projects as assigned.

• Bachelors degree in Business, Healthcare Administration, Finance, Nursing, Health Information Management, or a related field, or an equivalent combination of education and relevant experience.
• A minimum of five years of progressively responsible healthcare Revenue Cycle, revenue integrity, billing, coding, reimbursement, finance, or related experience.
• Demonstrated knowledge of hospital and professional charge capture, charge-master functions, billing workflows, and related compliance considerations.
• Experience interpreting and applying Centers for Medicare & Medicaid Services requirements and other governmental and third-party payer guidelines affecting charging and billing.
• Demonstrated leadership experience, including the ability to direct work, establish priorities, lead projects, manage resources, coach staff, and support successful completion of operational goals and initiatives.
• Experience investigating complex operational or system issues, performing root-cause analysis, evaluating risk, and developing sustainable solutions.
• Strong analytical, critical-thinking, problem-solving, organizational, and time-management skills.
• Ability to manage multiple priorities and respond effectively to changing operational needs.
• Excellent written, verbal, presentation, and interpersonal communication skills.
• Demonstrated ability to work collaboratively with clinical, technical, financial, operational, and Revenue Cycle stakeholders.
• Strong customer-service orientation and the ability to communicate technical and regulatory concepts to varied audiences.
• Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.

• Masters degree in Business, Healthcare Administration, Finance, Health Information Management, or a related field.
• Previous formal staff-supervision or management experience in a healthcare Revenue Cycle environment.
• Recent revenue integrity, hospital patient business services, billing, coding, reimbursement, or related experience.
• Experience managing hospital and professional charge masters, fee schedules, charge methodologies, charge-related rules, and work queues.
• Experience with Epic electronic health record and revenue-cycle applications, including charge routing, Revenue Guardian, Reporting Workbench, work queues, testing, upgrades, and optimizations.
• Knowledge of Current Procedural Terminology, Healthcare Common Procedure Coding System, International Classification of Diseases, revenue codes, and medical terminology.
• Coding certification, such as Certified Professional Coder or an equivalent hospital or professional coding credential.
• Experience reviewing financial, billing, claim, charge, and medical-record data to identify operational, compliance, or revenue opportunities.
• Experience developing metrics, dashboards, or reports to monitor charge-capture and Revenue Cycle performance.
• Experience leading cross-functional implementations, process-improvement initiatives, audits, or corrective-action plans.
• Knowledge of Michigan Medicine policies, procedures, systems, and organizational structure.
• Knowledge of or experience in the delivery of patient care.

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

This position is a 100% #LI-Remote position where you will work from home/virtually.

The business office, located at 777 E. Eisenhower Pkwy, Suite 400, Ann Arbor, MI 48108, will have space available to reserve for onsite work if/when necessary.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third-party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Reporting Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other University of Michigan campuses.

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled at any time after the minimum posting period has ended.

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.