Manager Revenue Integrity
Inova Health · Fairfax, VA · 2 wk ago
On-siteAccountingFull-time
About Us
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.
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.
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.
Schedule
Full-time, Monday through Friday, variable shifts.
Benefits
- Committed to Team Member Health: 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: Up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: All Inova team members, their spouses/partners, and their children receive 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: Paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.