Revenue Integrity Specialist Sr

Job description

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