Vivent Health · 21 hours ago
Revenue Integrity Program Manager
St Louis, MI
Full-time
Hybrid
Mid, Senior Level
$85K/yr - $85K/yr
5+ years expVivent Health is an organization dedicated to fostering a diverse workforce and providing integrated HIV care and prevention. The Revenue Integrity Program Manager is responsible for optimizing professional revenue through various strategies, ensuring compliance, and driving education and productivity reviews.
Health CareHospital
Responsibilities
Manage contracting and pricing strategy for all Vivent Health clinical locations
Provide oversight to payor enrollment team ensuring timely enrollment
Conduct prospective and retrospective clinical documentation audits of charge capture practices and report findings
Provide education to providers and charge capture support staff which includes CPT, HCPCS, revenue codes, and modifiers by payor and region
Coordinate charge capture improvement tools
Evaluate and maintain the system Charge Description Master (CDM) for compliance and consistency
Lead projects to improve revenue capture and reduce provider burden
Identify and resolve charging issues using EPIC work queues and external platforms
Provide ongoing reporting and presentations to clinical and executive leadership
Facilitate Revenue Integrity meetings
Qualification
Required
Bachelor's degree in a related field from an accredited college or university (or equivalent combination of education/experience)
2+ years of supervisory experience
5+ years of progressively responsible work experience in revenue cycle operations
Proficient in health care and professional revenue cycle operations
Expert in revenue data analysis and reporting
Knowledge of coding conventions and third-party payer rules
Experience with Epic Care, Epic Resolute, and related interfaces
Strong interpersonal and communication skills
Ability to influence decision-making through data-supported insights
Critical thinking and problem-solving abilities
Ability to facilitate stakeholder meetings and manage multiple priorities
Preferred
COC, CPC-H, CCS, CPC, CCSP, RHIT, or RHIA certification preferred
HIV experience in a not-for-profit environment
Benefits
Generous paid time off, including 12 paid holidays
401k with 100% employer match up to 5%
12 weeks of fully paid parental leave
Employer subsidized medical, dental, vision benefits
Gender-affirming care benefits
Employer paid short and long-term disability
Tuition reimbursement
Certification, and licensure assistance
Company
Vivent Health
Vivent Health operates the only HIV Medical Home in America recognized by the Centers for Medicare and Medicaid Services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Caring for Denver Foundation
2022-12-14Grant
Leadership Team
Brandon Hill
President & CEO
Recent News
2025-08-16
2025-07-22
Seattle TechFlash
2025-05-01
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