Revenue Integrity Manager - Rock Dental Brands

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

The Revenue Integrity Manager is responsible for identifying, analyzing and resolving revenue leakage across the organization's revenue cycle operations. This leader will partner closely with Revenue Cycle Operations, Finance, Clinical Leadership, Credentialing and external vendors to improve reimbursement accuracy, reduce denials, strengthen coding and documentation integrity, and optimize cash performance across dental, orthodontic, oral surgery and pediatric service lines.

This is both a strategic and hands-on role requiring strong analytical capability, operational discipline and cross-functional influence.

Key Responsibilities

Identify revenue leakage trends across dental, ortho, pediatric and oral surgery operations.

Perform root-cause analysis on denials, underpayments, write-offs and adjustments, aging and reimbursement variances.

Improve charge capture, claims accuracy and reimbursement outcomes.

Monitor payment behavior, denial trends and reimbursement patterns.

Audit coding, claim submission, documentation and payer edits.

Partner with Operations and RCM leaders to standardize workflows.

Participate in vendor governance and payer performance reviews.

Support audit readiness and compliance initiatives.

Monitor contract and credentialing issues with auditing.

Monitor patient credit populations.

Qualifications Required

5+ years of healthcare revenue cycle, revenue integrity, reimbursement, coding or denials-

management experience

Experience in multi-site healthcare, dental or DSO environments

Strong knowledge of:

• Claims lifecycle

• Reimbursement

• Denials

• AR Workflows

Advanced reporting skills

KPI development and operational analytics experience

Strong communication skills and cross-functional collaboration skills

Preferred Experience

Dental, Orthodontic, Oral Surgery or Pediatric dental experience

Tableau or BI/reporting platform experience

CPC, CPMA, RHIA, RHIT or related certifications preferred

Key Competencies

Leadership & team development

Operational excellence

Data-driven decision making

Process improvement mindset

Cross-functional collaboration

Adaptability in fast-paced environments

Success Metrics

Reduction in denial rates

Improvement in net collection rate

Reduction in AR aging

Increased first-pass resolution rate

Reduction in avoidable write-offs

Improved reimbursement visibility and reporting accuracy

Identification and recovery of revenue leakage opportunities