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Integrity Manager Jobs in Florida (NOW HIRING)

CAN Community Health Inc

Revenue Integrity Manager

$74K - $95K/yr

CAN Community Health is now hiring a Revenue Integrity Manager Schedule: Full-Time Day Shift Monday-Thursday 8:00 am - 5:00 pm; Friday 8:00 am - 12:00 pm Salary: $74,000-$95,000 based on experience ...

Wolters Kluwer

Research Integrity Lead

Tampa, FL · On-site

This role establishes and embeds bestpractice frameworks to prevent, detect and manage integrity risks throughout the publication lifecycle, including paper mills, peerreview manipulation, data and ...

Wolters Kluwer

Research Integrity Lead

Tampa, FL · On-site

This role establishes and embeds bestpractice frameworks to prevent, detect and manage integrity risks throughout the publication lifecycle, including paper mills, peerreview manipulation, data and ...

Wolters Kluwer

Research Integrity Lead

Tampa, FL

This role establishes and embeds bestpractice frameworks to prevent, detect and manage integrity risks throughout the publication lifecycle, including paper mills, peerreview manipulation, data and ...

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Integrity Manager information

What are Integrity Managers?

Integrity Managers are professionals responsible for ensuring that an organization adheres to ethical standards, regulatory requirements, and internal policies. They develop, implement, and oversee programs that promote honesty, transparency, and compliance within the workplace. Their duties often include conducting risk assessments, investigating breaches of conduct, and providing training to staff on ethics and compliance issues. By fostering a culture of integrity, they help protect the organization's reputation and minimize legal or financial risks.

What is the difference between Integrity Manager vs Compliance Officer?

AspectIntegrity ManagerCompliance Officer
Primary FocusPromoting ethical standards and organizational integrityEnsuring adherence to laws, regulations, and policies
CertificationsOften requires ethics or integrity-related certificationsTypically holds compliance or legal certifications
Work EnvironmentCorporate settings, often in industries like finance, healthcareRegulatory agencies, corporate compliance departments
Key ResponsibilitiesDeveloping integrity programs, training, ethical culture promotionMonitoring compliance, conducting audits, policy enforcement

While both roles focus on organizational standards, the Integrity Manager emphasizes ethical culture and integrity promotion, whereas the Compliance Officer concentrates on regulatory adherence and policy enforcement. Both are vital for maintaining organizational trust and legal compliance.

How does an Integrity Manager typically collaborate with other departments to maintain ethical standards within an organization?

Integrity Managers work closely with teams such as compliance, legal, human resources, and internal audit to develop and implement ethical guidelines and policies. They often lead training sessions, investigate potential breaches, and provide guidance to ensure that all employees understand and adhere to organizational standards. This role requires strong communication and relationship-building skills, as Integrity Managers must foster a culture of transparency and accountability across various departments. Effective collaboration helps proactively identify risks and ensures consistent application of ethical practices.

What are the key skills and qualifications needed to thrive as an Integrity Manager, and why are they important?

To thrive as an Integrity Manager, you need a solid background in compliance, risk management, and ethical standards, often supported by a relevant degree and industry certifications such as CCEP or CRMA. Familiarity with compliance management systems, incident reporting tools, and regulatory databases is typically required. Strong analytical thinking, discretion, and excellent communication skills help in managing sensitive issues and promoting ethical behavior across the organization. These competencies are vital for safeguarding the company's reputation and ensuring adherence to legal and ethical obligations.
Integrity Manager jobs near you
Revenue Integrity Manager

Revenue Integrity Manager

CAN Community Health Inc

Remote

$74K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

CAN Community Health rating

7.3

Company rating: 7.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

CAN Community Health is now hiring a Revenue Integrity Manager
Schedule: Full-Time Day Shift Monday-Thursday 8:00 am - 5:00 pm; Friday 8:00 am - 12:00 pm
Salary: $74,000-$95,000 based on experience
Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.
We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award and Top Workplaces Healthcare Industry Award.
Why You'll Love It Here
  • Competitive pay
  • Generous paid PTO and Sick time
  • 11 Paid Company Holidays
  • Paid training and certification support
  • Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
  • Tuition Reimbursement Plan
  • Other voluntary plans are available to support you and your family
  • Career growth opportunities in a supportive environment

What You'll Do
This position ensures compliance with all regulations, policies, and procedures related to medical billing. The Revenue Integrity Manager reviews systems and processes to identify potential compliance issues, works with appropriate departments to correct such issues, serves as the internal resource for billing-related questions, provides training related to appropriate billing, and works with various departments to ensure billing compliance. In addition, the Revenue Integrity Manager will be responsible for implementing short and long-term plans and objectives to improve billing, coding, denials/rejections, and appeal processes.
CAN Values:
  1. Recognize and affirm the unique and intrinsic worth of each individual.
  2. Treat all those we serve with compassion and kindness.
  3. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way I live my life.
  4. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.

Essential Functions:
  1. Promotes and practices CAN Community Health Inc's mission and values and follows its policies and procedures.
  2. Ensures confidentiality is maintained by entire team regarding patient/client information in accordance with HIPAA, professional and departmental standards.

Primary Tasks:
  1. Manage and optimize the revenue cycle process, ensuring accurate and timely billing, coding, and reimbursement.
  2. Ensure compliance with regulatory requirements, coding guidelines, and billing practices (such as HIPAA, CMS regulations, etc.).
  3. Conduct analysis of revenue data, identify trends, and generate reports to support decision-making and improve revenue capture.
  4. Implement strategies to enhance revenue capture, reduce denials, and improve overall revenue cycle efficiency.
  5. Oversee charge capture processes, ensuring completeness and accuracy in coding and billing procedures.
  6. Work closely with coding, billing, finance, and clinical teams to resolve revenue-related issues and streamline processes.
  7. Provide guidance, training, and education to staff on revenue cycle best practices, coding updates, and compliance issues.
  8. Conduct regular audits to ensure billing and coding accuracy, identify areas for improvement, and mitigate compliance risks.
  9. Demonstrate a high level of commitment to customer service in responding timely to the needs of internal and external parties or departments.
  10. Monitors benchmarks and KPIs and uses actionable data for improvement.
  11. Provide daily management and support to team to ensure they are working effectively and correctly completing assigned tasks.
  12. Functions as a working manager as necessary to facilitate trainings, improvements, project work, and revenue cycle optimization.
  13. Supervises, interviews, hires staff, trains new personnel, conducts performance appraisals; promotions, dismissals, PTO requests, and approves payroll.

Secondary Tasks:
  1. Practice Integrity and Mission and Value statement.
  2. Communicates effectively and collaborates with other departments to implement regulatory standards that assist in revenue attainment while accurately complying with billing guidelines.
  3. Develops and manages revenue process improvement strategies in support of clinical departments, implementation of information systems, and process initiatives.
  4. Responsible for maintaining system edits to ensure they achieve compliance, payment optimization, and process efficiency.
  5. Responsible for the implementation of the annual fee schedule changes.
  6. Communicates annual coding/fee schedule changes across the organization.
  7. Leads projects with efficiency, project plans, and status reports.
  8. Strong communication and interpersonal skills and the ability to work effectively with a diverse population.
  9. Sites visits as necessary.

Requirements
Physical Requirements:
  1. Requires frequent bending, stooping, and standing. Requires visual and auditory acuity, frequent sitting and walking for extended periods of time.

Education/Professional:
  1. Bachelor's degree in healthcare, Business, Finance, or more than 5 years equivalent healthcare experience
  2. Five+ years management experience in a healthcare setting.

Competencies:
  1. Leadership
  2. Strategic Thinking
  3. Problem Solving
  4. Results Driven
  5. Communication
  6. Interpersonal Skills
  7. Decision Making
  8. Customer Service

Knowledge, Skills and Abilities Required:
  1. Ability to work with minimal supervision.
  2. Strong coaching and development skills with the ability to organize activities for a productive team and lead effectively with time and project management skills.
  3. Ability to research projects using primary sources when appropriate, such as CMS, HRSA, AHCA, etc.
  4. Experience working with medical payers including Medicare, Medicaid, Commercial and third-party administrators.
  5. Strong problem-solving skills with the ability to research complex information, create insights, communicate recommendations, and implement appropriate solutions.
  6. Knowledge of insurance procedures, reimbursement guidelines, and claim filing processes.
  7. Excellent organizational, interpersonal, and communication skills.
  8. Able to regularly review productivity and make staffing adjustments as needed.
  9. High comfort working in a diverse environment.
  10. Ability to effectively communicate both written and verbally.
  11. Ability to effectively utilize problem-solving and decision-making techniques.
  12. Ability to make effective judgments and decisions based on objective criteria.
  13. Strong work ethic
  14. Demonstrated leadership abilities, including team building and collaboration.
  15. Excellent Computer skills and proficiency in Microsoft Office (EXCEL, VISIO, Word, PowerPoint)

CAN Required Trainings:
General Orientation Violence in the Workplace
HIPAA Sexual Harassment
HIV/AIDS Health Stream Courses as assigned
Work Environment:
This job operates in a professional office environment or may be remote. This role routinely uses standard office equipment such as computers, audio visual, telephones, photocopiers, filing cabinets and fax machines.
Position Type/Expected Hours of Work:
This position may require additional time above normal operating hours and on occasion weekend work.
Travel:
When/If necessary, travel is primary during the business day, although some out-of-area and overnight travel may be expected. Must be able to operate a motor vehicle and have valid insurance and driver's license.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Must be able to pass a Level I and Level II Background check as required. https://info.flclearinghouse.com/
CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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