Virtua Health-posted 3 months ago
$68,878 - $109,958/Yr
Full-time • Mid Level
Mount Laurel, NJ
5,001-10,000 employees

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

  • Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.
  • Assist in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs.
  • Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set.
  • Work with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes.
  • Conduct analytical reviews to determine net revenue effect of proposed charge master and fee schedule changes.
  • Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.
  • Develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations.
  • Monitor and assist with review of revenue cycle workqueues in Epic.
  • Perform analysis to identify issues, trending, root cause, and action plan development with workqueue issues.
  • Assist in strategic pricing process to optimize reimbursement within budget guidelines.
  • Participate in ongoing coordination and resolution of revenue issues as they arise.
  • Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure workqueue rules are accurate and updated based on annual and quarterly coding changes.
  • Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports.
  • Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims.
  • Analyze billing errors and denial data to identify root cause of issues.
  • Lead and participate in projects related to Revenue Cycle initiatives.
  • 3 to 5 years experience within a large hospital or integrated healthcare delivery system.
  • Ability to work collaboratively across disciplines and business lines.
  • Exceptional oral/written communication skills and highly customer-focused.
  • Excellent interpersonal and presentation skills.
  • Able to communicate with many, various customers.
  • Ability to prioritize, plan and execute.
  • Excellent critical thinking, analytical skills.
  • Bachelor Degree in Accounting, Finance, Healthcare preferred.
  • EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification, preferred.
  • Medical/prescription insurance
  • Dental insurance
  • Vision insurance
  • Health and dependent care flexible spending accounts
  • 403(b) (401(k) subject to collective bargaining agreement)
  • Paid time off
  • Paid sick leave as provided under state and local paid sick leave laws
  • Short-term disability
  • Optional long-term disability
  • Colleague and dependent life insurance
  • Supplemental life and AD&D insurance
  • Tuition assistance
  • Employee assistance program that includes free counseling sessions
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