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Manager, Revenue Integrity
(Hybrid with office hours in Nashua, NH)
About the Job
The Manager, Revenue Integrity provides leadership and operational oversight for Charge Description Master (CDM) governance, charge capture processes, and revenue reconciliation activities. This role ensures accuracy, compliance, and the integrity of revenue cycle operations while supporting organizational financial performance.
The Manager drives the tactical execution of departmental goals by equipping teams with the knowledge, tools, and workflows needed to navigate complex payer requirements, regulatory standards, and system functionality. This role also leads performance monitoring, process improvement, and cross‑department collaboration to reduce revenue leakage and strengthen operational excellence.
Who We Are
Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center — a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence — we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments.
Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.
What You’ll Do
- Develop, implement, and manage policies, procedures, and workflows supporting accurate CDM maintenance and charge capture processes.
- Oversee a service-line–based Charge Review program to identify charge capture issues and drive improvements.
- Monitor daily workflow prioritization to ensure established metrics, benchmarks, and KPIs are consistently achieved.
- Ensure compliance with organizational policy, payer requirements, and regulatory standards.
- Support systemwide process improvement initiatives and change‑management efforts related to new workflows, technologies, and strategic priorities.
- Conduct ongoing performance monitoring and implement corrective actions as needed.
- Leverage reporting tools and analytics to evaluate performance, identify operational gaps, and drive accountability.
- Maintain up‑to‑date knowledge of payer policies and translate updates into clear workflows and education.
- Provide onboarding and ongoing professional development for staff.
- Serve as a trusted resource for revenue cycle operations, payer requirements, and system functionality.
- Offer supervision, coaching, and performance feedback to assigned staff; identify training needs through data and workflow analysis.
- Foster a collaborative team culture aligned with organizational values.
- Participate in organizational work groups and committees.
- Master new software applications quickly and independently.
- Perform other duties as assigned.
- Limited travel required — up to 10%.
Who You Are / Requirements
Education:
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field
- OR an additional 4 years of required experience may substitute for a degree.
Licensure/Certification:
- Revenue Cycle industry certification required (CRCR, CHFP, HFMA, Epic, and/or CHAM).
Experience:
- Minimum of 7 years of experience in Revenue Cycle operations.
- Epic Revenue Cycle application experience required.
Knowledge & Skills:
- Knowledge of end‑to‑end revenue cycle operations, CDM, medical terminology, and insurance/managed care regulations.
- Proficiency in Microsoft Office (Word, PowerPoint, Excel) and Epic.
- Ability to work independently and collaboratively.
- Strong facilitation, coaching, and analytical skills.
- Ability to multitask, manage competing priorities, and make decisions in rapidly changing situations.
Why You’ll Love Us
- Southern NH Medical Center is a 5-time Magnet designated hospital
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Medical, dental, and vision coverage
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & paid training for continued career progression
- & So much more!
Job Title: Technical Analyst – Revenue Cycle & Claims
Location: Remote
Employment Type: Contract
Job Description:
We are seeking an experienced Technical Analyst with strong expertise in Healthcare Revenue Cycle and Claims processing. The ideal candidate will work closely with clinical, billing, and IT teams to analyze data, optimize workflows, and support reporting across EMR and patient accounting systems. You will leverage SQL and database knowledge to extract, validate, and interpret complex healthcare data, ensuring accuracy and compliance. Strong understanding of end-to-end revenue cycle processes, claims lifecycle, and clinical data integration is essential. Experience working in ambulatory and acute care environments is highly preferred. This role requires excellent analytical skills and the ability to translate business requirements into technical solutions.
Strict Mandatory Skills (Do Not Apply if Missing):
- Revenue Cycle Analyst experience in Healthcare
- Strong SQL & relational database knowledge
- EMR, Patient Accounting & Claims systems expertise
- Clinical workflows (ambulatory & acute care) understanding
- Bachelor’s/Master’s in Health Informatics, Bioinformatics, or related field
Job description:
Revenue Cycle "Sales" Specialist | Healthcare
Job Type: Full-Time
Travel Required: Up to 50%
About the Role:
Wholesum is seeking a Revenue Cycle Sales Specialist to lead the sales of our Business Office Services to both new and existing clients. This role is ideal for a dynamic, results-driven professional with a strong understanding of healthcare revenue cycle operations.
You will work independently and alongside our New Business Sales team to present tailored, value-based solutions to CEOs, CFOs, and Business Office leaders. As a Subject Matter Expert (SME), you will play a key role in sales strategy, product development, and ongoing innovation within our Business Office Services.
This position offers a competitive salary with a performance-based incentive plan, provided at the time of hire.
Key Responsibilities
- Drive revenue growth for Wholesum Billing Business Office Services.
- Develop and deliver compelling, value-based sales presentations to C-level executives and business office leaders.
- Collaborate with the New Business Sales team to tailor demonstrations and ROI analyses that meet prospective clients’ specific needs.
- Conduct discovery sessions with prospects and perform fit/gap analyses.
- Create customized product demos, presentation scripts, and responses to RFIs/RFPs.
- Serve as the SME liaison across internal departments (Sales, Product, Development, and Operations).
- Support the transition process post-sale and help establish client reference sites.
- Represent Wholesum Billing at industry conferences and trade shows.
- Stay up to date with healthcare industry trends and competitive landscape.
- Maintain accurate and timely administrative documentation related to the role.
Requirements:
- Ability to travel up to 50%.
- 2–5 years of revenue cycle experience preferred.
- 4–6 years of related experience in sales, training, or IT within a healthcare setting preferred.
- Strong leadership and mentoring skills.
- Basic understanding of urgent care, family medicine, and hospital operations.
- Exceptional presentation skills (final candidates will be asked to give a sample presentation).
- Excellent interpersonal skills with the ability to quickly build rapport across all organizational levels—from frontline staff to executives.
- Strong written and verbal communication skills (writing sample required for final candidates).
- Highly organized, detail-oriented, and able to manage multiple tasks simultaneously.
- Team-oriented, with the ability to collaborate across departments.
- Flexible, professional, and composed under pressure.
- Proficient in Microsoft Office applications (Word, Excel, PowerPoint, etc.).
- Committed to delivering outstanding customer service to prospects, clients, and internal teams.
- Passionate about delivering “Outrageous Customer Service” to all stakeholders, including clients, partners, and colleagues.
Final applicants will be asked to provide:
- Deliver a sample sales presentation.
- Submit a written communication sample.
Why Join Us?
At Wholesum Billing, we’re passionate about improving healthcare operations and committed to delivering outrageous customer service. If you’re motivated by meaningful work, thrive in a high-energy environment, and love engaging with customers at all levels, we want to hear from you!
Job Summary: The Epic Director is responsible for providing executive, strategic, and operational leadership for the implementation of enterprise Epic systems. Reporting to the Vice President of the Epic Program, DirectorEpic is the project leader overseeing implementation and operational activities for the Epic system. The individual will be part of a consortium team with colleagues at affiliated institutions, consisting of project managers, analysts, and developers with acute care clinical system domain expertise. This position works closely with clinical and business leadership and leads a multidisciplinary team inthe design, implementation, workflow optimization, change management, and issue resolution related to inpatient clinical applications. This position requires broad knowledge of clinical systems such as the Epic platform, along with inpatient clinical workflow and business processes. As a Director for the enterprise Epic initiative, this individual will collaborate with peer domain-specific directors forenterprise Epic, as well as appropriate technical and operational leaders from affiliated institutions.
Responsibilities:
- Plan, execute, and support complex inpatient EHR modules. Modules will support clinical documentation, computerized clinician order entry, electronic results review, clinical decision support, secure messaging, and charge capture. The scope of work includes establishing business objectives, defining workflow, and standardizing clinical content.
- Manage and supervise full-cycle implementation activities and daily operations of a group composed of highly skilled project managers and technical and analytic employees with domain expertise in inpatient clinical systems.
- Oversee clinical content and system build that leverages Epics best practices, while supporting key workflows and business processes within the Consortium.
- Collaborate effectively with the Directors of ambulatory and inpatient systems for enterprise Epic to insure consistent clinical build and efficient workflow processes throughout the continuum of care.
- Oversee build, deployment, and support of enterprise ambulatory registration and scheduling modules and inpatient bed management/ADT functionality.
- Oversee build, deployment, and support of professional fee and hospital billing modules
- Collaborate effectively with respective Directors to ensure that clinical modules are optimally integrated with revenue cycle modules to maximize productivity and revenue opportunities.
- Initiate, develop, and maintain coordination and communication with system users, department administration, vendors, and senior college and hospital management to assure organizational success. If necessary, train or supervise training of users and other staff in current and new aspects of system functionality.
- Manages project plans, operating budgets, reports, spreadsheets, and other presentations necessary for the proactive communication and management regarding your projects to other administrators, users, and relevant affiliates.
- Work collaboratively with clinician leaders, business offices, and information technology offices of all consortium members to coordinate operational planning and support for core information services and technical infrastructure. Keep informed of system developments with the institution and affiliates as well as within the industry and related vendor realm
- Negotiate and resolve project issues and escalations, including scope creep, and other risks associated with executing on the project plans. Ensure adherence to the project budget and identify and communicate any factors that may cause a budget variance.
- Prepares annual operating and capital expense budgets for project deliverables. Manages project budgets and approves expenditures.
- Provides and maintains effective communication with hospital management to define the priorities of projects, including equipment acquisitions, requirements of management and staff, and allocation of departmental resources. Presents reports to keep hospital administration informed of project development and any deviation from projected goals.
- As a key stakeholder in the effective execution of the project charter, he makes recommendations to ensure that the IT strategic plan is aligned with the organizations business objectives.
- Manages vendor relationship management with appropriate counterparts at Epic to coordinate resource planning, project deliverables, and technical specifications.
- Performs all duties inherent to a managerial role. Participates in hiring, training, evaluation and termination of assigned staff according to hospital policies and procedures.
- Performs other special projects and duties as assigned.
Qualifications/Requirements:
Experience:
- Minimum of 7 years of previous work-related experience required
- 5 years of leadership experience required
Education:
- Bachelors Degree in healthcare, business management, computer science or a related field, required
- Masters Degree, preferred
Licenses / Certifications:
- N/A
Other:
- Experience implementing and/or supporting applicable enterprise clinical systems
- Excellent knowledge of clinical systems utilized in hospitals and physician practices
- Must be able to demonstrate ability to achieve results in a complex environment.
- Excellent verbal and written communications and interpersonal skills are required.
- Demonstrated proficiency with personal computers (and operating systems) including Microsoft Windows, Word, and Excel
Special Requirements:
- Experience working with and managing colleagues in a matrix-management model
- Experience in a large academic medical practice, health care IT vendor, and hospitals are all extremely helpful.
- Significant experience with Epic and its related integration modules or other enterprise clinical systems, including formal certifications, is strongly preferred.
- For the Director of EPIC Access and Revenue Cycle must have excellent working knowledge of EMPI, ADT, Registration, Scheduling, and Billing processes utilized in hospitals and physician practices.
A Revenue Cycle Director is needed for a Surgical Rehab Center not too far from Vegas and amidst a National Park in Utah.
This Revenue Cycle Director will direct the performance, in conjunction and counsel with the CEO, of the revenue cycle activities of the in-house billing and collections team (including but not limited to insurance billing, collections, and contracting, as well as patient billing, collections and financial counseling).
The Trainer, Revenue Integrity is responsible for developing and delivering training programs that support accurate and compliant revenue cycle processes. This role ensures that staff across departments understand and adhere to revenue integrity standards, including coding, billing, documentation, and compliance requirements. The trainer collaborates with subject matter experts to create educational materials and evaluates training effectiveness to drive continuous improvement.
Experience:
- Minimum of 3-5 years of experience in healthcare revenue cycle, coding, billing, or compliance
- Experience in developing and delivering training programs
- Familiarity with CMS regulations, payer guidelines, and healthcare compliance standards
- Strong communication, presentation, and instructional design skills
Education:
- Bachelor’s degree in Healthcare Administration, Health Information Management, or related field (required)
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (preferred)
Key Roles and Responsibilities:
1. Design and deliver training programs on revenue integrity topics including coding, billing, and documentation.
2. Assess training needs through surveys, audits, and performance data.
3. Develop educational materials such as manuals, presentations, and e-learning modules.
4. Conduct onboarding training for new hires and ongoing education for existing staff.
5. Collaborate with compliance and revenue cycle teams to ensure training aligns with current regulations.
6. Monitor and evaluate training effectiveness and make improvements as needed.
7. Maintain training records and documentation for compliance purposes.
8. Serve as a subject matter expert on revenue integrity practices.
9. Provide one-on-one coaching and support to staff as needed.
10. Stay current with industry trends, regulatory changes, and best practices in revenue integrity.
Other Duties:
1. Educating caregivers on functionality or workflow
2. Remaining current with industry standards and events that may significantly impact reimbursement.
Upload 9-22-25
Remote working/work at home options are available for this role.
Overview of the role:
The Manager of Hospital Billing provides operational leadership for all hospital billing activities. This role supports managed services operations, working closely with leadership to ensure billing accuracy, compliance, and performance excellence. The Manager will oversee day-to-day operations, lead staff, and collaborate on initiatives that drive revenue cycle success. This position requires onsite presence to maintain strong communication and accountability.
This position requires candidates to be local to, or open to relocating to the greater Annapolis, Maryland Area and is an onsite position.
Key job duties:
- Manage hospital billing teams to ensure timely and accurate claim submission and follow-up.
- Partner with leadership to implement strategies that align with revenue cycle objectives.
- Monitor hospital billing performance metrics, identify issues, and implement corrective actions to meet KPIs.
- Ensure compliance with all federal, state, and payer regulations governing hospital billing.
- Collaborate with internal and client stakeholders to resolve escalated billing issues and improve workflows.
- Support staff development through training, coaching, and performance evaluations.
- Assist with technology initiatives, including Epic optimization, to enhance hospital billing processes.
- Contribute to resource planning and operational improvements to achieve departmental goals.
Required Skills:
- Education: Bachelor’s degree required.
- Experience: 6–8 years of experience in healthcare billing operations, including at least 3 years in a leadership capacity.
- Authorization: Current permanent U.S. work authorization required.
- Technical Skills: Strong knowledge of hospital and professional billing processes; experience with Epic or similar electronic health record systems preferred.
- Competencies: Proven ability to analyze performance metrics, manage teams, and implement process improvements to drive revenue cycle success.
Preferred Skills:
Strategic & Analytical Capabilities
- Advanced Data Synthesis: The ability to not only monitor Key Performance Indicators (KPIs) but to synthesize complex data sets to implement recommendations that result in measurable organizational change.
- Workflow Optimization: Experience in driving standardization and continuous improvement initiatives across complex health system environments.
- Budgetary Collaboration: Experience participating in annual system-wide budget preparation and managing multi-workstream performance improvement projects.
Leadership & Soft Skills:
- Change Management: A demonstrated ability to lead through transitions, such as moving from a hospital-managed model to a managed services/outsourced model.
- Collaborative Influence: The professional "polish" required to influence key stakeholders, including both client-side and internal senior leadership.
- Mentorship & Coaching: A strong track record of building talent, specifically in developing professional and technical skill sets in subordinate staff.
Revenue Cycle Systems Charge Analyst
The Systems Charge Analyst supports Revenue Cycle operations by maintaining accurate and compliant billing systems to ensure revenue integrity. This role analyzes charging, coding, billing, and denial trends, performs root cause analysis, and collaborates with Operations and IT to implement Epic system updates and process improvements.
The Analyst will identify opportunities to improve net revenue, assist with billing issue resolution, provide reimbursement analysis, and develop coverage guidelines to reduce claim denials. This role also reviews current practices, system interfaces, and account audits to support the financial health of the organization.
Qualifications
- Bachelor’s degree in Finance, Business, Healthcare Administration, Economics, Statistics, or related field required
- 3–5 years of healthcare revenue cycle, financial analysis, or related experience
- Epic certifications (Resolute Hospital Billing, Charge Router, or Charge Master) preferred
- Coding or Compliance certification preferred
- Knowledge of ICD-10-CM and CPT-4 coding guidelines preferred
- Experience with hospital Charge Master (CDM), billing, or coding
- Familiarity with managed care, reimbursement, and claim denial management
- Strong analytical, communication, and computer skills
- Experience with reporting tools such as Crystal Reports or MS Access preferred
Location: Tarrytown, NY
Work Schedule: Monday to Friday, 8 AM-4:30 PM
Base Salary: $80,000.00-$100,000.00
For positions that have only a rate listed, the rate displayed is the hiring rate but could be subject to change based on shift differential, experience, education, or other relevant factors.
Diversity, equity, and inclusion are core values of Montefiore Einstein. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
Montefiore Einstein is an equal employment opportunity employer. Montefiore Einstein will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
The Irca Group is an international leader in high quality finished and semi-finished ingredients for the bakery, pastry, and ice cream markets. With a solid history of over 100 years in the industry, the Group has its headquarters in Italy (Gallarate) and a strong global footprint with 23 production sites and over 2000 employees in Europe, the United States and Vietnam.
Our core product categories include chocolate, compounds, chocolate decorations, sprinkles, creams, pastry mixes, gelato ingredients, nuts and candied fruit. The most recent acquisition of Kerry Sweet complements our existing categories with the addition of sweet particulates, chocolate confections, inclusions, variegates and frozen fruit purees.
Through its 8 key brands (IRCA, Dobla, in2food, Via Degli Orsini, JoyGelato, RaviFruit, Cesarin and Anastasi) the IRCA Group offers an unparalleled \"one-stop shop\" approach for delivering quality solutions to all ingredients needs, through a broad range of innovative products. We offer every day and seasonal solutions to 3 macro channels: Gourmet, Food Manufacturing and Consumer Product (Retail). \"Extraordinary made simple\"
Essential Duties & ResponsibilitiesAs a Cycle Counter you will be part of our supply chain team. The Cycle Counter will perform the following but not limited to:
- Analyze, compute, and verify work orders sent up daily from production.
- Verify clerical computation against work orders and investigate and report reasons for discrepancies to supervisor.
- Maintain the operation summary worksheet.
- Enter daily production of finished goods and any corresponding scraps and receipts for rework/regrind using the inventory control programs.
- Enter daily work orders into the computer system using the inventory control programs.
- Advise supervisor if FIFO or negative inventory issues are detected.
- Maintain and update all attachments to work orders received.
- Work with Quality Assurance Dept. to track the hold status of products and enter product movement in the inventory control programs.
- Reconcile MOs as appropriate.
- Attendance is part of employee performance.
- All other duties as assigned.
- High school diploma or general education degree (GED); or 1-3 years' related experience and/or training; or equivalent combination of education and experience. Demonstrate proficient math skills.
- Strong analytical skills & excellent attention to detail.
- Demonstrate knowledge usage of ERP systems and other IT systems and proficient in MS Office, particularly MS Excel.
- Well-developed interpersonal skills.
- Effective communication & presentation skills (verbal and nonverbal).
Irca Group offers career growth opportunities as well as competitive compensation and benefits: Medical, Dental, & Vision, 401(k) matching, Paid Vacation, Sick Time, and Holidays, Employee Education Tuition Reimbursement Program
$20 - $25 an hour
**Requires local to Fort Lauderdale area- on-site position
Job Summary: CareCloud is seeking a results-driven, experienced Revenue Cycle Management (RCM) Sales Executive to join our growing commercial team. This is a quota-carrying, hunter-oriented role responsible for driving new business and expanding CareCloud's RCM and SaaS solutions footprint across healthcare provider organizations.
The ideal candidate brings at least 3 years of direct RCM sales experience, a deep understanding of medical billing, coding, and revenue cycle workflows, and a track record of closing mid-market and enterprise deals in the healthcare technology space. This role is based full-time at CareCloud's Broward County, FL office and requires collaboration with Internal Solutions, Operations, and Marketing Teams to develop and close pipeline opportunities.
Education and Experience:
- Bachelor's degree required; degree in business, healthcare administration, or a related field preferred
- Minimum of 3 years of direct RCM sales experience required — candidates without documented RCM sales experience will not be considered
- Experience selling to physician groups, IPAs, MSOs, hospitals, or health systems strongly preferred
- Familiarity with healthcare SaaS platforms, EHR/PM systems, and related technology a strong plus
- Experience selling AI-enabled healthcare solutions or demonstrating AI product capabilities a plus
- Demonstrated proficiency with or willingness to immediately adopt Claude and other AI tools as part of daily workflow
Work Location: In-office, 5 days per week – CareCloud’s Office, Broward County, FL
Travel Requirements: Up to 30% (client visits, industry events, trade shows)