RN, Payment Integrity Manager

Payment Integrity Manager (RN)Fully remote, open to candidates located anywhere in the United States.Make a Meaningful Impact on Healthcare Quality, Compliance, and Financial IntegrityAre you an experienced RN passionate about identifying opportunities to improve healthcare outcomes, coding accuracy, and payment integrity? We're seeking a Payment Integrity Manager who will play a critical leadership role in ensuring claims accuracy, driving reimbursement integrity, and helping create a more efficient healthcare system.In this role, you'll partner with clinical, coding, and operational teams to ensure payments are accurate, compliant, and aligned with industry standards. Your work will directly influence organizational performance while helping ensure healthcare resources are utilized appropriately and effectively.What You'll DoLead payment integrity and revenue integrity initiatives across the organization.Oversee audits and reviews focused on coding accuracy, reimbursement, and compliance.Identify trends, recover revenue opportunities, and reduce payment inaccuracies.Collaborate with clinical, coding, and operational stakeholders to improve processes and outcomes.Analyze claims, coding practices, and reimbursement methodologies to identify areas for improvement.Mentor and support team members while helping build a culture of continuous improvement.What Makes You a Great FitActive RN license in your state of employmentCurrent coding certification (CPC, CCS, RHIT, or equivalent)Experience in:Payment IntegrityRevenue IntegrityMedical Billing & CodingAuditing & ComplianceClinical healthcare experienceAt least 1 year of leadership or supervisory experiencePreferred ExperienceDRG validation or review experienceHealth plan, payer, managed care, or revenue cycle experienceStrong analytical and problem-solving skillsWhy Join Us?Competitive salary: $100,000-$110,000Fully remote opportunityHigh-visibility leadership roleOpportunity to influence organizational strategy and financial performanceCollaborative team environment focused on continuous improvement and innovationIf you're ready to combine your clinical expertise, coding knowledge, and leadership skills to make a measurable impact, we'd love to connect with you. Apply today.