OverviewThe Manager of Revenue Integrity & Hospital Billing is responsible for leading the daily operations, oversight, and optimization of hospital revenue integrity functions across UF Health hospitals. This role supports the organization's revenue cycle strategy by ensuring accurate charge capture, compliant billing practices, charge description master (CDM) integrity, reimbursement optimization, and operational standardization across facilities. The Manager serves as a key liaison between Revenue Integrity, Finance, Patient Financial Services, Clinical Operations, Compliance, Health Information Management, Coding, Clinical Documentation Integrity (CDI), Managed Care, and Information Technology teams to identify and resolve revenue leakage, improve charge accuracy, support regulatory compliance, and drive enterprise standardization initiatives. This position leads a team of revenue integrity professionals and contributes to strategic projects focused on Epic optimization, charging automation, expected reimbursement accuracy, and revenue cycle transformation initiatives.
QualificationsEducation- Bachelor's degree in healthcare administration, Business Administration, Finance, Health Information Management, Nursing, Accounting, or related field.
- Seven (7+) years of experience in lieu of a degree.
- Master's degree preferred.
Experience- Minimum five (5) years of progressively responsible experience in healthcare revenue cycle, revenue integrity, hospital finance, compliance, charge capture, patient accounting, HIM or related areas.
- Minimum three (3) years of leadership or management experience.
- Experience with academic medical centers and transplant programs strongly preferred.
- Epic experience a must.
License/Certification/Registration- Certified Healthcare Revenue Integrity (CHRI) preferred.
- Certified Professional Coder (CPC) preferred.
- Certified Coding Specialist (CCS) preferred.
- Certified Revenue Cycle Representative (CRCR) preferred.
- Registered Health Information Administrator (RHIA) preferred.
- Registered Health Information Technician (RHIT) preferred.
Other Qualifications- Extensive knowledge of hospital billing, charging, reimbursement methodologies, and revenue cycle operations.
- Strong understanding of Medicare, Medicaid, commercial payer regulations, and revenue integrity best practices.
- Knowledge of charge capture workflows, CDM management, claims processing, denials management, and reimbursement analysis.
- Ability to interpret regulatory requirements and translate them into operational processes.
- Ability to manage multiple priorities and lead through organizational change.
