Revenue Integrity Manager at Wilshire

About The Wilshire Group

The Wilshire Group is a boutique consulting firm in Los Angeles, California. Our firm focuses on revenue cycle optimization as well as bringing a strong leadership team as the voice between operations and IT. Our team has worked with over 100 healthcare systems across the US.

Our Values

• To be professional | To be efficient | To be flexible

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

Leadership & Oversight

• 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.

CDM Management

• 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.

Revenue Integrity Oversight

• Monitor charge capture processes across service lines to ensure accuracy and compliance.

• Identify and resolve charge lag, late charges, and reconciliation issues.

Strategic Advisory & Transition Support

• 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.

Wilshire’s 8 Pillars of Revenue Integrity (Optional Advisory)

• 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.

Other Duties

• 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.