Respiratory Quality Manager

Under the leadership of the Respiratory Director, the Respiratory Quality Manager provides strategic leadership and oversight for charge capture accuracy, auditing methodologies, and quality improvement initiatives within Respiratory Care Services (RCS). This includes ensuring full compliance with hospital, state, and federal regulatory requirements, mitigating financial and operational risks, and advancing organizational excellence through data‑driven evaluation and decision‑making. The manager is accountable for preventing missed billing opportunities, monitoring EKG and respiratory procedure workflows, and maintaining robust controls that safeguard revenue integrity and long‑term financial sustainability.
In addition, the Respiratory Quality Manager is responsible for ongoing daily operational issues, providing administrative support to the Respiratory Care Services Director/Manager as assigned, and leading or participating in the planning, direction, and implementation of departmental projects. The manager assists in the development, monitoring, and execution of a cost‑effective budget and coordinates and oversees payroll, staffing schedules, and non‑clinical operational systems to ensure efficient and compliant departmental functioning.,Minimum Education
Bachelor's degree in Respiratory Therapy or related field (Required)
Master's Degree (Preferred)
Minimum Work Experience
8 years
progressively responsible experience in respiratory care and/or healthcare administration/business, including at least 3 years lead and/or supervisory experience. (Required)
Required Skills/Knowledge
Demonstrates a proven commitment to excellent customer service supported by strong analytical, organizational, and interpersonal skills.
Possesses exceptional ability to interpret complex data, formulate sound judgments, and develop informed recommendations related to operations, budgeting, and protocol design.
Skilled in producing clear, actionable business reports that support strategic decision-making.
Proficient in a wide range of office productivity and analytics platforms, including Microsoft Excel, Access, Word, and PowerPoint, as well as Bear Analytics, PeopleSoft, Oracle, Kronos, and other analytical tools.
Demonstrates a strong ability to quickly learn and adapt to new systems and technologies.
Strong systems thinker with advanced analytical and strategic capabilities, demonstrating the ability to understand complex organizational dynamics and drive effective solutions. Known for applying creativity, foresight, and sound judgment when navigating competing priorities and high-volume workloads.
Highly action‑oriented with a proven record of meeting and exceeding established project and process objectives.
Brings a high level of energy and a collaborative leadership style, with the ability to quickly adjust within fast‑paced and continuously evolving environments.
Skilled in leading and influencing outcomes in a highly matrixed organizational structure, ensuring alignment, transparency, and measurable results.
Possesses advanced knowledge of office and clerical functions, with demonstrated proficiency in managing documentation, workflows, and administrative processes that support operational efficiency.
Demonstrates strong knowledge and understanding of business and healthcare finance, with a proven ability to support and enhance the financial performance of complex organizational operations.
Possesses in‑depth knowledge of healthcare industry trends, financing structures, patient care delivery models, and the broader healthcare delivery system.
Adept at applying this expertise to support quality, compliance, and performance‑improvement efforts across diverse operational settings.
Demonstrates the ability to establish credibility and build strong partnerships with leaders and staff at all organizational levels to achieve targeted outcomes and uphold accountability.
Exceptional collaboration skills and the proven capability to lead, motivate, and influence teams within complex and dynamic environments.
Excellent verbal, written, and interpersonal communication skills and communicate in a manner that fosters trust, transparency, and shared responsibility.
Required Licenses and Certifications
Registered Respiratory Therapist Credentialed by the National Board of Respiratory Care (NBRC). (Required)
Licensed by the District of Columbia(DOH) Health Regulation and Licensing Administration. (Required)
Basic Life Support for Healthcare Provider (BLS) Certification (Required)
Pediatric Advanced Life Support (PALS) Certification (Required)
Neonatal Resuscitation Program (NRP) 180 Days (Required)
Functional Accountabilities
Quality, Safety & Regulatory Compliance
Interpret respiratory care–related regulatory and accreditation standards (e.g., Joint Commission, CMS, DOH) and translate them into clear workflows, policies, and controls.
Lead proactive and retrospective risk assessments of the respiratory therapy documentation and medication/device management process; identify gaps and implement corrective actions.
Ensure enterprise-wide standardization of respiratory charge capture, documentation, and procedure coding practices across inpatient, outpatient, ED, and ambulatory settings.
Maintain current knowledge of applicable regulations impacting respiratory services (e.g., oxygen therapy, aerosol therapy, ventilator management, EKG oversight where applicable) and disseminate updates to stakeholders.
Charge Capture, Revenue Integrity & Financial Controls
Design, implement, and maintain end-to-end charge capture workflows for respiratory procedures (e.g., ABGs, EKGs under RCS scope, PFTs, high-flow oxygen, nebulizer treatments) to reduce missed billing.
Partner with Finance, Rev Cycle, and IT to reconcile orders, charges, and documentation; lead root-cause analysis for charge variances and missed revenue.
Oversee routine audits (daily/weekly/monthly) of charge capture and documentation completeness; formalize remediation plans and monitor sustainability.
Develop KPI dashboards and scorecards for leadership visibility into respiratory revenue performance, denials, late charges, and net recovery.
Data, Analytics & Reporting
Establish a standardized analytics infrastructure (requirements, definitions, data lineage) for respiratory quality and financial metrics.
Build and maintain operational dashboards (volumes, productivity, turnaround times), financial scorecards (cost, charge, reimbursement), and compliance reports.
Conduct trend analyses and cohort studies to identify opportunity areas (unit/provider/time-of-day patterns; documentation gaps; device utilization).
Present monthly performance reports and improvement outcomes to RCS, Finance, Coding, Compliance, and senior leadership.
Process Improvement & Standardization
Apply lean/continuous improvement frameworks to streamline documentation, order-to-charge mapping, and device tracking.
Facilitate multi-disciplinary Kaizen/rapid-cycle projects to address bottlenecks (e.g., order entry errors, device assignment, duplicate charges).
Author and maintain SOPs/work instructions for front-line respiratory therapists and charge reconciliation teams; ensure routine review and revision.
Education, Training & Competency/ Documentation, Policy & Record Retention
Develop and deliver education for respiratory therapists, unit clerks, and providers on documentation standards, charge capture, and compliance expectations.
Create competency validation tools (checklists, job aids) for documentation and charge entry for new hires and annual skills days.
Provide targeted coaching following audit findings and incorporate lessons learned into ongoing training.
Maintain a controlled library of respiratory documentation standards, charge capture policies, SOPs, and audit tools.
Ensure proper record retention for audits, incident reviews, and revenue integrity reconciliations per hospital policy.
Risk Management & Incident Response
Lead investigations of documentation discrepancies, device misassignment, and charge capture failures; document findings and corrective actions.
Collaborate with Compliance and Legal on audits and inquiries; prepare evidence packs, summaries, and remediation plans.
Maintain risk register for respiratory charge capture and compliance items; track mitigation status to closure.
Operational Integration & Technology Enablement
Partner with IT/Clinical Informatics to optimize EHR build (orders, documentation templates, charge triggers, device tracking).
Evaluate tools for documentation automation, device barcode assignment, and reconciliation; oversee implementations and change management.
Champion data governance for respiratory metrics and ensure alignment with enterprise reporting standards.
Stakeholder Engagement & Governance
Serve as the subject matter expert for respiratory quality control, charge capture, and compliance on hospital committees (Quality, Revenue Integrity, CDI/Coding, P&T if relevant).
Coordinate with Nursing, Providers, HIM/Coding, Supply Chain, and Biomedical Engineering to ensure end-to-end integrity of respiratory services.
Communicate progress, risks, and expectations clearly; escalate barriers and secure decisions through governance channels.
Leadership, People Management & Culture
Lead a small team (Audit/Analytics/Education/Respiratory Care Assistants[MD2.1]) with clear goals, roles, and performance expectations, coaching for high reliability and accuracy.
Foster a culture of safety, accountability, and continuous learning aligned to organizational values (Commitment, Connection, Compassion).
Manage workload prioritization, delegate effectively, and ensure timely, high-quality deliverables.