Senior Charge Management Coordinator - Revenue Integrity

UVA Health•Charlottesville, VA

4d•$60,257 - $120,513•Remote

About The Position

The Senior Charge Management Coordinator supports UVA Health’s Revenue Integrity operations by managing Epic Hospital Billing work queues, analyzing hospital billing, reviewing charges, resolving denials, and investigating root causes. The work is predominantly performed in Epic and involves complex workflows concerning claims, charges, clinical documentation, provider orders, and payer requirements. The role goes beyond clearing individual edits: it identifies recurring patterns, system gaps, and process breakdowns, then recommends improvements to prevent future errors and strengthen revenue cycle performance. The coordinator works independently in a predominantly remote environment while collaborating with Revenue Integrity colleagues on complex account reviews and sharing findings. The position may include coaching, reviewing, or delegating work to less experienced professionals. Candidates need at least five years of experience in a complex hospital setting and knowledge of third-party billing, reimbursement methodologies, CPT Level II and III HCPCS, hospital charging methods, and medical terminology. A bachelor’s degree is required, though relevant experience may be considered in lieu of the degree. Epic Hospital Billing and work queue experience are highly preferred; CPC certification is preferred but not required.

Requirements

At least five years of experience in a complex hospital setting.
Knowledge of third-party billing and reimbursement methodologies.
Understanding of CPT Level II and III HCPCS and hospital charging methods.
General comprehension of medical terminology.
Bachelor’s degree required, though relevant experience may be considered in lieu of the degree.
Self-directed approach, investigative problem-solving, curiosity, receptiveness to feedback, and ability to balance well-supported viewpoints with a shared focus on outcomes.

Nice To Haves

Epic Hospital Billing and work queue experience.
Experience with Professional Billing, CMS-1500 claims, coding, revenue integrity, Clinical Documentation Improvement, or academic medical center operations.
CPC certification.
Practical Epic knowledge; Epic certification is not required.

Responsibilities

Resolve Epic Hospital Billing work queue errors, claim edits, charge errors, and denial-related issues.
Review and manage charge review workflows, including Medically Unlikely Edits and medical necessity edits.
Analyze hospital claims and account activity using clinical documentation, provider orders, charges, revenue codes, CPT fundamentals, and modifiers.
Research billing requirements across Medicare, Medicaid, and commercial payers.
Read and interpret UB claim forms and apply knowledge of hospital charging and reimbursement methodologies.
Investigate recurring edits and denials to identify root causes, system gaps, and process breakdowns.
Recognize trends, escalate emerging issues, and recommend long-term process improvements to prevent future errors.
Collaborate with Revenue Integrity colleagues on complex account reviews and share findings across work queue and analytics functions.
Coach, review, or delegate work to less experienced professionals when appropriate.
Independently manage priorities while balancing productivity and accuracy.