Revenue Integrity Associate Director

The incumbent is part of the Finance Department, Patient Revenue Division - Revenue Integrity Enterprise Services Unit and responsible for solution execution of enterprise-wide business processes and integrated applications related to CDM and Charge Capture as part of RI Program. Oversight of operations related Charge Capture and CDM, will meet with the clinical leaders, physicians, decision-makers, systems owners, and end-users to define, develop and implement operational business systems and technologies used by integrated cross-functional teams. Responsible for oversight of charge capture and CDM implementation projects, and facilitates dialogue between all external departments (Coding, Billing, IT, Clinical Service Lines, Compliance, etc.), including aiding in maintaining systems, processes and workflows, for the timely and accurate recording of hospital and professional revenue regarding charge capture. Includes ownership of charging policy and workflow design for all external Clinical Service Lines.

Revenue Integrity CDM & Charge Capture Manager must have minimum 5 years of experience with managing revenue cycle functions, a high degree of knowledge in the overall revenue integrity best practice, industry standards, practices and be recognized to have expertise in revenue cycle areas. Critical thinking 'outside the box' and problem solving is frequently required, along with in-depth analysis of unique issues/problems without precedent and/or structure. Manager works with internal departments and external workgroups to formulate strategies, carry out process improvement, administer policies, processes, and resources, functions with a high degree of autonomy. Collaborates and involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Leads audits and quality assurance by clinical service lines/department related to coding/charging performance on ongoing basis and various other criteria defending UCDHS revenue cycle integrity. Such activities may include collaboration with RC managers related to under payments, denials and write-offs. Impacts processes to include charge capture, documentation and coding, data entry, billing, and contract management. Provides expert analysis and reporting of charge capture, CDM, and overall revenue performance; identification and tracking of issues related to Charge Capture overseeing interaction between Revenue Integrity Domains to maximize revenue and increase efficiency. Oversight and leadership of RI CDM and CC domains operations, lead complex analysis, heavy collaboration with other operational areas including, Finance, Compliance, IT, clinical service lines and payor contracts, a high level of independence and creativity, advanced analytical skills and problem- solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements, sound judgment, as well as organizational and priority setting abilities.

Manager is responsible for personnel management which may include hiring, ongoing training, work assignment, performance appraisal, staff development, meritorious awards and disciplinary action, including dismissal, if necessary, of all staff assigned. Establishes and participates in the department wide goals, budgets, directs resources and delegates projects. Responsible for development and implementation of quality improvement practices and productivity standards. Provides leadership to subordinate staff and develops a culture of teamwork and collaboration. Designs and modifies workflows to ensure efficiency and revenue cycle best practices. Maintain an up-to-date advanced knowledge of the rules and regulations affecting the health care delivery system so as to successfully negotiate with and respond to private insurance companies, county, state and federal agencies/intermediaries.

Develops and maintains controls and management systems to assure a proper safeguard of receivables. Has significant responsibility to achieve broadly stated goals through subordinate supervisors and technical employees. Determines objectives, directs programs, develops strategies and policies, manages human, financial, and physical resources, and functions with a high degree of autonomy. Proactively assesses risk to establish systems and procedures to protect organizational assets. Determines strategies for a program with organization-wide impact. Oversees the development of training goals, plans, and materials in various revenue cycle areas to ensure departments maintain compliance with coding and procedures. Coordinate revenue cycle activities across UC Davis Health. Assure that all patient inquiries are handled in a prompt and professional manner.

Apply By March 29, 2026, at 11:59pm; Applications will be reviewed weekly, and interviews may occur at any time.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Bachelor's degree in a related field or equivalent combination of experience, education or training.
• Minimum 5 years of experience with managing revenue cycle functions
• 5-7 years of Revenue cycle leadership experience.
• Expert knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture. Expertise in using Epic PB/HB Resolute as well as a subject matter expert level and Epic Resolute ADT experience. Excellent skills in project management and in developing strategic plans, building staff competencies, managing staffing and resources, organizing operations, understanding and improving workflows, and fiscal management. Excellent leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives. Excellent analytical, critical-thinking, organizational, and business process optimization skills, with the ability to quickly troubleshoot problems and apply complex analytics to identify and implement effective solutions. Excellent ability to collaborate with senior management to develop and implement new strategic plans and budgets. Ability to provide sound metrics on revenue cycle management current status and progress towards goals. Excellent interpersonal and communications skills to prepare and present reports and analyses, and to convey complex information clearly and concisely to all levels of staff and management. Excellent ability to motivate, influence, and persuade others, and to cultivate a strong commitment to efficiency, functionality, and quality customer service. Thorough knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations. Thorough knowledge of information technology specific to healthcare revenue cycle management and related functions, including software, hardware, tools, techniques, and systems.
  
  

Key Responsibilities

• 50% - Revenue Integrity Charge Capture Enterprise Services Manager
• 40% - Revenue Integrity CDM Enterprise Services
• 10% - Revenue Integrity/Revenue Cycle Support and Project Management

Department Overview

The Revenue Integrity & Health Information Management Enterprise Services (RIHIMES) Team strives to achieve the highest customer satisfaction level by providing a well-documented, accurate, timely medical care record for continuing patient care, research, teaching, reimbursement, and community service. Its primary purpose is to serve our patients by facilitating treatment, research, reimbursement, and education based on a well-documented medical record. Revenue Integrity (RI) program and services at UCDH implement a methodology to efficiently manage revenue and align staff, projects, processes, and technology to accurately assure optimal reimbursement for clinical services rendered at the University of California, Davis Health.

POSITION INFORMATION

• Salary or Pay Range: $141600.00 - $294000.00
• Salary Frequency: Monthly
• Salary Grade: Grade 28
• UC Job Title: REVENUE CYCLE HC MGR 2
• UC Job Code: 006580
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): Day
• Location: No Physical Access (NOPHYSACC)
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is 100% remote

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks