Manager Revenue Integrity
| Verified Pay check_circle | Provided by the employerUp to $5,250 per year |
|---|---|
| Hours | Full-time, Part-time |
| Location | Fairfax, Virginia |
About this job
Inova is looking for a dedicated Manager of Revenue Integrity to join the team. This role will be full-time Monday through Friday variable shifts.
Current Registered states able to work in remote - 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.
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,
Job Responsibilities
- Provides operational and strategic oversight for HB and PB Revenue Integrity functions related to charge capture, charge reconciliation, and WQ management.
- Partners with Service Lines, operational leaders, and Revenue Cycle teams to improve charge capture accuracy, workflow efficiency, and reimbursement outcomes.
- Monitors and analyzes Revenue Cycle trends, denials, reconciliation variances, and operational performance metrics to identify opportunities for process improvement and revenue optimization.
- Collaborates with Denials Prevention, coding, billing, compliance, clinical operations, and finance teams to support proactive issue resolution and regulatory compliance.
- Leads strategic initiatives focused on Revenue Integrity optimization, operational standardization, and process improvement across HB and PB environments.
- Oversees WQ prioritization, workflow management, escalation processes, and accountability measures to support timely resolution of revenue-impacting issues.
- Evaluates and supports implementation of innovative technologies, automation opportunities, and AI-driven initiatives designed to improve operational efficiency, reporting capabilities, and future organizational growth.
- May perform additional duties as assigned.
Additional Requirements:
- Licensure -Must have ONE of the following Certified Credentials from AAPC (American Academy of Professional Coders) /AHIMA (American Health Information Management Association): RHIT, RHIA, CCS, or CPC, or licensure: Registered Nurse
- Experience - 7 years of experience in healthcare revenue cycle oversight, charge capture/reconciliation, including 1 year of supervisory experience
- Certification - Must have ONE of the following 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; or Associate degree and 2 years relevant professional experience in addition to the minimum Experience requirement; or HS Diploma/GED and 4 years relevant professional experience in addition to the minimum Experience requirement
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