Program Manager-Revenue Integrity

Program Manager - Revenue Integrity

The Revenue Integrity Program Manager serves as the primary liaison between Revenue Cycle Operations and clinical departments, Chiefs of Staff, and School of Medicine Directors of Finance & Administration (DFAs). The role ensures compliance with government, payer, and internal charge capture policies, optimizing revenue generation for both Technical (Facility) and Professional Services. The position involves managing workflows, reducing missed charges, ensuring timely charge capture, and identifying new revenue opportunities using NThrive software.

Responsibilities :

• Review and manage workflows to reduce missed charges and ensure timely charge capture.
• Identify new revenue opportunities and manage the Charge Description Master (CDM) using NThrive software.
• Conduct prospective reviews of charge capture practices and provide findings and educational tools to staff.
• Facilitate the use of NThrive for CDM requests, focusing on regulatory coding and compliance.
• Collaborate with the Compliance Department to educate staff on CPT codes, HCPCS codes, revenue codes, and modifiers.
• Lead projects to improve revenue compliance and charge capture process efficiencies.
• Perform basic financial analyses to report payment changes impacts due to payer practices and CMS regulation changes.
• Review NThrive CCA files daily to identify system compliance issues and revenue opportunities.
• Develop criteria for reporting revenue performance to various audiences.
• Present comprehensive reports with content understanding and explanations for budget variations.

Essential Skills :

Additional Skills & Qualifications :

Work Environment :

The position is remote, providing a flexible work environment.

Job Type & Location :

This is a Contract position based out of Redwood City, California.

Pay and Benefits :

The pay range for this position is $46.20 - $87.33 / hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following :

Workplace Type :

This is a fully remote position.

Application Deadline :

This position is anticipated to close on Nov 13, 2025.

About Aston Carter :

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.