Manager, Revenue Assurance, Fully Remote

The Manager, Revenue Assurance oversees all revenue integrity, auditing, and compliance activities across the organization to ensure complete, accurate, and compliant revenue capture. This leader directs audit initiatives, ensures adherence to coding and billing regulations, evaluates charge capture processes, and partners with clinical, coding, billing, and financial teams to enhance reimbursement accuracy and prevent revenue leakage. This role provides strategic oversight of revenue cycle risk areas, supports payer compliance, leads cross-functional improvements, educates internal and external departments on coding, charging, and documentation requirements, while also analyzing denial trends, overseeing claim edit resolutions, and ensuring all revenue processes align with federal, state, and payer-specific regulations.

Key Accountabilities:

• Monitors and trends claims, denials, charge reviews and appeals for pharmacy and high-risk areas to implement system efficiencies within Norton.
• Serves as a key resource across internal and external teams and acts as a liaison to ensure compliant charging and documentation.
• Manages Revenue Assurance staff, assists in team training, manages daily operations, and sets clear expectations including, but not limited to, productivity and accuracy measures.

This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina

Required:

• With a Bachelor's Degree: Five years of experience in revenue cycle, coding audits, revenue integrity, denials management, or financial auditing within a healthcare environment.
• Without a Bachelor's Degree: Nine years of experience in revenue cycle, coding audits, revenue integrity, denials management, or financial auditing within a healthcare environment.
• One (1) of the following coding credentials: CCS-Certified Coding Specialist, CPC-Certified Professional Coder, COC-Certified Outpatient Coder, CIC-Certified Inpatient Coder

Desired:

• Three years of supervisory or project leadership responsibility.