Inova Health Systems

Revenue Integrity Specialist Sr

Inova Health Systems • $80K — $95K *
Falls Church, VA 22042In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • 6 years of experience in healthcare revenue cycle management, denial management, or related field
  • Certification from AAPC or AHIMA (RHIT, RHIA, CCS, or CPC) or a Registered Nurse licensure
  • Bachelor's degree in healthcare administration or related field, or equivalent experience
  • Strong knowledge of regulatory requirements related to revenue cycle processes
  • Experience conducting training and educational sessions

Responsibilities

  • Support daily operations of the Revenue Integrity team with a focus on accurate charge capture.
  • Collaborate with leadership to audit charge capture workflows and recommend improvements.
  • Monitor revenue integrity metrics, identifying areas at risk for revenue leakage.
  • Act as a subject matter expert for regulatory requirements in clinical departments.
  • Support training initiatives and develop educational materials for teams.
  • Work with stakeholders across billing, coding, and IT to streamline processes and promote compliance.
  • Conduct education sessions to reduce preventable denials and enhance revenue integrity.

Benefits

  • Medical, dental, and vision coverage along with a wellness program.
  • Inova matches the first 5% of eligible retirement contributions starting on the first day.
  • Education assistance of up to $5,250 per year and student loan assistance up to $10,000.
  • 25 mental health coaching or therapy sessions per year at no cost for team members and their families.
  • Paid time off, paid parental leave, flexible work schedules, and remote/hybrid work opportunities.
Full Job Description
Job Description

Inova is looking for a dedicated Revenue Integrity Specialist Senior to join the team. This role will be full-time remote

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


About Inova Health Systems

Inova Health Systems is a non-profit healthcare organization that provides medical services to patients in Virginia and the Washington, D.C. metropolitan area. The organization was founded in 1956 and is headquartered in Falls Church, Virginia. Inova Health Systems operates several hospitals and medical centers, as well as a network of primary care and specialty clinics. The organization is committed to providing high-quality, patient-centered care and is recognized for its expertise in areas such as cancer care, heart and vascular care, and women's health.
Learn more about Inova Health Systems
Size
18,000 employees
Industry
Healthcare
* Ladders Estimates

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