Payment Integrity Analyst
About The Position
Inova is looking for a dedicated Payment Integrity Analyst to join the team. This role is full-time Monday through Friday hybrid. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Requirements
- 6 years of experience in Payment Integrity, Denials Management, or similar roles.
- Associate's degree in Finance, Business Administration, Healthcare Management or related field; or HS Diploma/GED and 2 years of relevant professional experience in addition to the minimum Experience requirement
Responsibilities
- Validates reimbursement accuracy against payor agreements, fee schedules, reimbursement methodologies, and payment policies.
- Analyzes claims, remittances, contractual allowances, and payment activity to identify payment variances and systemic discrepancies.
- Investigates reimbursement issues related to contract misapplication, processing errors, coding discrepancies, authorization requirements, or policy changes.
- Monitors reimbursement trends and escalate recurring issues requiring operational, contractual, or payor intervention.
- Conducts detailed reviews of claims, remittances, refunds, and recoupments to identify overpayment recovery opportunities.
- Determines root causes of overpayments and recommends corrective actions to prevent recurrence.
- Conducts root cause analyses to identify drivers of payment discrepancies, denials, and reimbursement risks.
- Translates complex reimbursement findings into actionable recommendations for operational teams and leadership.
- Supports strategic initiatives related to revenue protection, reimbursement optimization, and payment accuracy improvement.
- May perform additional duties as assigned.
Benefits
- medical, dental and vision coverage
- a robust team member wellness program
- Inova matches the first 5% of eligible contributions – starting on your first day.
- up to $5,250 per year in education assistance
- up to $10,000 for student loans
- 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- paid time off
- paid parental leave
- flexible work schedules
- remote and hybrid career opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
