The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Serves as a clinical resource for coding / denial management and customer service issues.
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Serves as a clinical resource for coding / denial management and customer service issues.
Revenue Integrity Nurse Auditor
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Serves as a clinical resource for coding / denial management and customer service issues.
Revenue Integrity Nurse Auditor
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Serves as a clinical resource for coding / denial management and customer service issues.
Risk & Integrity Insights Specialist, Lead
Mclean, VA · On-site
$99K/yr
Share Risk & Integrity Insights Specialist, Lead The Opportunity: We are expanding and evolving our ... This role will play a central part in advancing how risk is understood and managed, enhancing and ...
Risk & Integrity Insights Specialist, Lead
Mclean, VA · On-site
$99K/yr
Share Risk & Integrity Insights Specialist, Lead The Opportunity: We are expanding and evolving our ... This role will play a central part in advancing how risk is understood and managed, enhancing and ...
Inpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Revenue Integrity Compliance Auditor
$70K - $108K/yr
Day (United States of America) Salary Range: $70,068.00 - $108,605.00 Under the direction of the Revenue Integrity Audits Manager, this position is responsible for providing audit and research ...
Revenue Integrity Compliance Auditor
$70K - $108K/yr
Day (United States of America) Salary Range: $70,068.00 - $108,605.00 Under the direction of the Revenue Integrity Audits Manager, this position is responsible for providing audit and research ...
$20 - $22/hr
Managers must be self-motivated individuals who have superior leadership skills and execute systems and procedures with 100% integrity. * Managers must have excellent communications skills utilizing ...
$20 - $22/hr
Managers must be self-motivated individuals who have superior leadership skills and execute systems and procedures with 100% integrity. * Managers must have excellent communications skills utilizing ...
Outpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Mechanicsville, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
$20 - $22/hr
Managers must be self-motivated individuals who have superior leadership skills and execute systems and procedures with 100% integrity. * Managers must have excellent communications skills utilizing ...
$20 - $22/hr
Managers must be self-motivated individuals who have superior leadership skills and execute systems and procedures with 100% integrity. * Managers must have excellent communications skills utilizing ...
Specialist, Systems and Data Integrity
Leesburg, VA · On-site
$75K - $90K/yr
Manage user accounts, security settings, and access permissions. * Develop, build, and maintain ... Data Integrity & Reporting * Maintain data integrity across all records housed within Salesforce ...
Quick apply
Specialist, Systems and Data Integrity
Leesburg, VA · On-site
$75K - $90K/yr
Manage user accounts, security settings, and access permissions. * Develop, build, and maintain ... Data Integrity & Reporting * Maintain data integrity across all records housed within Salesforce ...
STORE/PRICE INTEGRITY LEAD CLERK
Roanoke, VA · On-site
$13.25 - $17.75/hr
Demonstrated aptitude to manage people and organize workloads * Able to tactfully & calmly handle ... Past work record reflects dependability and integrity * Knowledge of applicable laws and ...
STORE/PRICE INTEGRITY LEAD CLERK
Roanoke, VA · On-site
$13.25 - $17.75/hr
Demonstrated aptitude to manage people and organize workloads * Able to tactfully & calmly handle ... Past work record reflects dependability and integrity * Knowledge of applicable laws and ...
Pharmacy Technician Revenue Integrity
Chesapeake, VA · On-site
$15.25 - $18.50/hr
The Pharmacy Technician Revenue integrity is responsible for assisting the Pharmacy Director with ... management, procurement, and recalls when needed • Participates in and leads 340B quality ...
Pharmacy Technician Revenue Integrity
Chesapeake, VA · On-site
$15.25 - $18.50/hr
The Pharmacy Technician Revenue integrity is responsible for assisting the Pharmacy Director with ... management, procurement, and recalls when needed • Participates in and leads 340B quality ...
Risk & Integrity Insights Specialist, Lead
Mclean, VA · On-site
$99K/yr
Risk & Integrity Insights Specialist, Lead The Opportunity: We are expanding and evolving our risk ... This role will play a central part in advancing how risk is understood and managed, enhancing and ...
Risk & Integrity Insights Specialist, Lead
Mclean, VA · On-site
$99K/yr
Risk & Integrity Insights Specialist, Lead The Opportunity: We are expanding and evolving our risk ... This role will play a central part in advancing how risk is understood and managed, enhancing and ...
Outpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Pharmacy Technician Revenue Integrity
Chesapeake, VA · On-site
$16 - $19.50/hr
The Pharmacy Technician Revenue integrity is responsible for assisting the Pharmacy Director with ... management, procurement, and recalls when needed • Participates in and leads 340B quality ...
New
Pharmacy Technician Revenue Integrity
Chesapeake, VA · On-site
$16 - $19.50/hr
The Pharmacy Technician Revenue integrity is responsible for assisting the Pharmacy Director with ... management, procurement, and recalls when needed • Participates in and leads 340B quality ...
New
Inpatient Coding Integrity Specialist
Richmond, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Richmond, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Richmond, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Outpatient Coding Integrity Specialist
Richmond, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
... integrity calculations, and document and validate repairs. * assisting with completing detailed ... Demonstrate effective time management * Self-motivated and strong initiative * Strong verbal and ...
... integrity calculations, and document and validate repairs. * assisting with completing detailed ... Demonstrate effective time management * Self-motivated and strong initiative * Strong verbal and ...
Inpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Inpatient Coding Integrity Specialist
Tuckahoe, VA · On-site
$20.25 - $30.38/hr
You will provide feedback and documentation advice to the physician, practice management, and other ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Healthcare Program Integrity Solutions Consultant
Virginia Beach, VA · On-site
$150K - $175K/yr
Partner with product management and engineering to ensure commercial payer payment integrity workflows and SIU operational realities are reflected in product design and roadmap decisions * Stay ...
Quick apply
Healthcare Program Integrity Solutions Consultant
Virginia Beach, VA · On-site
$150K - $175K/yr
Partner with product management and engineering to ensure commercial payer payment integrity workflows and SIU operational realities are reflected in product design and roadmap decisions * Stay ...
Landscape Maintenance Crew Manager
Ashland, VA · On-site
$20 - $24/hr
As a Landscape Maintenance Crew Manager at Integrity Landscaping Solutions, we're not just looking for a leader. Your role is crucial in guaranteeing the maintenance and flourishing of our clients ...
Quick apply
Landscape Maintenance Crew Manager
Ashland, VA · On-site
$20 - $24/hr
As a Landscape Maintenance Crew Manager at Integrity Landscaping Solutions, we're not just looking for a leader. Your role is crucial in guaranteeing the maintenance and flourishing of our clients ...
Integrity Manager information
What does an integrity specialist do?
What does an integrity manager do?
What is the highest paying manager job?
What are Integrity Managers?
What is the difference between Integrity Manager vs Compliance Officer?
| Aspect | Integrity Manager | Compliance Officer |
|---|---|---|
| Primary Focus | Promoting ethical standards and organizational integrity | Ensuring adherence to laws, regulations, and policies |
| Certifications | Often requires ethics or integrity-related certifications | Typically holds compliance or legal certifications |
| Work Environment | Corporate settings, often in industries like finance, healthcare | Regulatory agencies, corporate compliance departments |
| Key Responsibilities | Developing integrity programs, training, ethical culture promotion | Monitoring 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.
Is integrity a good place to work?
How does an Integrity Manager typically collaborate with other departments to maintain ethical standards within an organization?
What are the key skills and qualifications needed to thrive as an Integrity Manager, and why are they important?

$35.34/hr
Full-time
Posted 4 days ago
Children's Hospital Of The King's Daughters rating
7.4
Based on 29 frontline employees who took The Breakroom Quiz
327th of 1,012 rated hospitals
Job description
- GENERAL SUMMARY
- The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health system from third party payers. Reports to the department leadership
- ESSENTIAL DUTIES AND RESPONSIBILITIES
- Ensures adherence to regulatory requirements related to billing and supporting documentation, as well as facilitates the completion of appeals in a timely manner.
- Prepares trend and other reports for compliance audits and charge processes.
- Serves as a resource to hospital departments regarding compliance with billing regulations and trends in denials of services due to medical necessity or appropriateness of services.
- Conducts compliance, defense, LifeNet and special focus audits and reports findings.
- Serves as a clinical resource for coding / denial management and customer service issues.
- Participates as a member of the chargemaster team, providing clinical support and expertise on compliance related charge functioning.
- Identifies and works collaboratively to correct discrepancies in patient charges.
- Performs other duties as assigned.
- LICENSES AND/OR CERTIFICATIONS
- Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license.
- Certified Professional Coder required.
- Certified Outpatient Coder (COC; formerly CPC-H) required within 1 year of hire.
- MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
- Graduate of a Bachelors of Science in Nursing program required.
- Minimum of 3 years of clinical experience as a Certified Professional Coder required.
- Three to five years of case management utilization review, or compliance related work experience in a hospital setting preferred.
- Pediatric experience preferred.
- Current knowledge of third party billing, appeals, regulatory and accrediting requirements required.
- Exceptional analytical skills necessary to determine appropriateness of patient charges in relation to medical records and third party reimbursement.
- Interpersonal skills necessary in order to communicate effectively with other professionals.
- Demonstrates proficiency in MS Office and other health record management systems.
- Knowledge of quality management methodologies, medical record documentation, compliance requirements and performance improvement system.
- Demonstrates the ability to prepare reports and summaries.
- WORKING CONDITIONS
- Normal office environment with little exposure to excessive noise, dust, temperature and the like.
- PHYSICAL REQUIREMENTS
- Click here to view physical requirements.
What Children's Hospital Of The King's Daughters employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Children's Hospital of the King's Daughters
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Norfolk, VA, US
Year founded
1961