Revenue Integrity Specialist Sr

Inova Health System · Falls Church

Inova is looking for a dedicated Revenue Integrity Specialist Senior to join the team. This role will be full-time remote and permitted to work if residing in VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

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.

Featured Benefits:

Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities

Job 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.

Additional Requirements:

Experience: 6 years in healthcare revenue cycle management, denial management, or related field
Certification: Certified Credentials from AAPC (American Academy of Professional Coders) /AHIMA (American Health Information Management Association): RHIT, RHIA, CCS, or CPC, or licensure: Registered Nurse
Education: Bachelor's degree in healthcare administration or related field, or equivalent experience in lieu of degree

Preferred Qualifications:

Denials Prevention focused

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.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Inova revenue Cycle | Revenue Integrity Specialist Senior | Full-Time Remote and permitted to work if residing in VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

More jobs at Inova Health System · Sales & Business Development jobs in Falls Church