Revenue Integrity Specialist Sr
Inova Health System•Falls Church, VA
•$79,664 - $129,854•Remote
About The Position
Inova is looking for a dedicated Revenue Integrity Specialist Senior to join the team. This role will be full-time remote. 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.
Requirements
- 6 years in healthcare revenue cycle management, denial management, or related field
- Certified Credentials from AAPC (American Academy of Professional Coders) /AHIMA (American Health Information Management Association): RHIT, RHIA, CCS, or CPC, or licensure: Registered Nurse
- Bachelor's degree in healthcare administration or related field, or equivalent experience in lieu of degree
Responsibilities
- Supports the daily operations of the Revenue Integrity team with a focus on maintaining accurate and compliant charge capture and reconciliation processes across clinical departments and service lines.
- Collaborates with service line leadership to review and audit charge capture workflows, identifying inefficiencies and recommending improvements.
- Monitors key revenue integrity metrics and reporting, identifying areas at risk for revenue leakage.
- Serves as a resource and subject matter expert for clinical departments on regulatory requirements.
- Supports training initiatives.
- Works closely with stakeholders across billing, coding, finance, clinical operations, and IT to streamline processes and foster a culture of compliance and accountability.
- Develops and delivers training materials to clinical and administrative teams to ensure understanding of charge capture processes, documentation standards, and payer guidelines.
- Conducts one-on-one or group education sessions focused on reducing preventable denials and enhancing revenue integrity.
- Provides ongoing support and guidance related to updates in payer policies, coding guidelines, or regulatory requirements.
- 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
- 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
Senior
