Logo
The Wilshire Group

Revenue Integrity Manager

The Wilshire Group, Washington, District of Columbia, us, 20022

Save Job

Overview

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. The Wilshire Group is a boutique consulting firm in Los Angeles, California, focusing on revenue cycle optimization and serving as the voice between operations and IT. Our team has worked with over 100 healthcare systems across the US. This position offers $75-$80 per hour. This is a contracted position for 6+ months. About The Wilshire Group

The Wilshire Group partners with healthcare organizations nationwide to deliver hands-on leadership, strategy, and operational excellence across revenue cycle, clinical, and financial operations. With a proven track record of helping health systems achieve measurable results, we provide both immediate support and long-term strategic solutions. Our consultants bring deep expertise, forward-thinking innovation, and a collaborative approach that sets us apart in the healthcare advisory space. Position Summary

The Wilshire Group is seeking an experienced

Interim Manager of Revenue Integrity and CDM

to provide leadership and oversight for Howard University Hospital. This interim leader will ensure stability and operational continuity for Revenue Integrity and CDM teams while permanent leadership is recruited and onboarded. The role will also include strategic advisory, process improvement, and knowledge transfer to support a seamless transition. Key Responsibilities

Provide day-to-day management and direction for Revenue Integrity and CDM team members. Serve as interim leader to ensure business continuity and operational stability. Oversee ongoing maintenance, accuracy, and compliance of the hospital\'s CDM. Ensure timely updates for CPT/HCPCS, revenue codes, and modifiers. Collaborate with clinical departments to validate new charge requests and ensure compliance with regulatory standards. Support and lead charge capture audits to identify missing, duplicate, or inaccurate charges. Monitor charge capture processes across service lines to ensure accuracy and compliance. Identify and resolve charge lag, late charges, and reconciliation issues. Assess existing Revenue Integrity and CDM workflows, policies, and procedures, recommending and implementing improvements where appropriate. Support recruitment and onboarding of permanent Revenue Integrity/CDM leadership. Deliver thorough documentation and knowledge transfer at the conclusion of the engagement. Incorporate The Wilshire Group\'s proprietary 8 Pillars of Revenue Integrity framework as part of the advisory engagement, customized to meet Howard University Hospital\'s unique needs. Perform additional related responsibilities as required to support client needs. Requirements

Proven leadership experience in hospital-based Revenue Integrity and CDM management. Strong knowledge of CPT/HCPCS coding, revenue codes, and regulatory compliance. Demonstrated ability to lead teams through transitions, including interim leadership or turnaround roles. Expertise in charge capture processes, audits, and reconciliation. Excellent communication and collaboration skills across clinical, financial, and operational teams. Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.

#J-18808-Ljbffr