Manager Revenue Integrity & Optimization (Healthcare)

Location: Remote position associated with Livonia, Walker, and Ann Arbor, Michigan, United States

Salary: $42.2592–$63.3888 per hour

Company

hirify.global is a large mission-driven healthcare organization serving communities across 25 states with approximately 115,000 colleagues and 26,000 physicians and clinicians.

What you will do

• Lead day-to-day revenue integrity operations for hospital and/or physician practice services.
• Manage the Charge Description Master, pre-bill edits, charge control processes, audits, and revenue optimization initiatives.
• Coordinate denial resolution with Patient Business Services and multidisciplinary teams, including root-cause analysis and prevention.
• Monitor payer, Medicare, and Medicaid updates and implement changes affecting charging, coding, billing, compliance, and reimbursement.
• Deliver education and training on audit findings, regulatory changes, coding updates, and managed-care billing requirements.
• Hire, schedule, coach, evaluate, and develop staff while managing projects, performance, reports, and key performance indicators.

Requirements

• Bachelor’s degree in Finance, Business Administration, or a related field, with 5–7 years of progressively responsible revenue cycle experience.
• At least 3 years of management experience in a multi-facility integrated healthcare system, revenue cycle organization, or revenue integrity consulting environment.
• Experience with acute-care and/or physician-practice revenue integrity, appeals, denial management, medical necessity, and coding audits.
• Knowledge of payer contracts, billing laws, DRG, APC, OPPS, OCE/CCI edits, DNFB, and hospital or physician claim forms.
• Ability to read medical charts and dictation, correlate services with charges, analyze data, and prepare written reports and recommendations.
• RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred; healthcare compliance certification and CDM oversight experience preferred.

Culture & Benefits

• Work remotely in a typical office environment with frequent communication across locations.
• Mission-driven workplace focused on reverence, justice, stewardship, integrity, and person-centered care.
• Emphasis on diversity, cultural awareness, colleague development, continuing education, and collaboration.
• Role requires managing multiple priorities, deadlines, interruptions, and occasional varied or extended hours.