Virtua Health
Revenue Integrity Analyst (Full-Time) Hybrid
Virtua Health, Mount Laurel, New Jersey, United States
Revenue Integrity Analyst (Full-Time) Hybrid
Virtua Health is seeking a
Revenue Integrity Analyst (Full-Time) Hybrid
to support the Revenue Cycle. The role focuses on root cause analytics and audits to identify opportunities and drive process improvement within an Epic-based EMR. This position supports revenue cycle workflows, charge capture, work queues, and denial review for Hospital, Physician, and Home Health services.
Location:
PACCT - 2000 Crawford Place
Remote Type:
Hybrid
Employment Type:
Employee
Employment Classification:
Regular
Time Type:
Full time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
40
Additional Locations:
–
Position Responsibilities
Perform quantitative and financial analysis along with audits to identify opportunities for improvement across the Revenue Cycle.
Ensure charge master and fee schedules comply with government policies and third-party payor requirements; review CPT changes and regulatory updates; coordinate updates with relevant departments.
Conduct analytical reviews to determine the net revenue impact of charge master and fee schedule changes.
Perform internal billing audits to ensure correct coding/billing regulatory compliance and accurate charge capture.
Develop strong working relationships with Revenue Integrity, Finance, Information Technology, and Clinical Operations to enable deep-dive analysis and corrective actions.
Monitor Epic workqueues; analyze issues, identify trends, and develop action plans.
Assist in strategic pricing to optimize reimbursement within budget guidelines; troubleshoot and resolve revenue cycle issues.
Provide guidance and collaborate with Revenue Integrity, Clinical Operations, and IT to ensure workqueue rules reflect coding changes.
Assist with Epic performance reporting, including Revenue & Usage, Enterprise Charge Reconciliation, and Volume Reports.
Serve as a resource to Patient Financial Services on reporting problems and denials; research coding issues and advise on solutions.
Analyze billing errors and denial data to identify root causes and implement corrective actions across Hospital, Physician, and Home Health areas.
Lead or participate in Revenue Cycle projects; contribute to annual Revenue Integrity planning and special initiatives.
Qualifications
Required Experience:
3 to 5 years of experience within a large hospital or integrated healthcare delivery system.
Ability to collaborate across disciplines and business lines; strong communication, interpersonal, and presentation skills; customer-focused.
Excellent critical thinking and analytical skills; ability to prioritize, plan, and execute.
Required Education:
Bachelor’s Degree in Accounting, Finance, or Healthcare preferred
Training / Certification / Licensure:
EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification preferred
Compensation and Benefits Annual Salary: $68,878 - $109,958. The actual salary varies based on experience and market data. Virtua offers a comprehensive benefits package for full-time colleagues, including medical/dental/vision insurance, 403(b), paid time off, paid sick leave, disability and life insurance, tuition assistance, and employee assistance programs. Eligibility for benefits is governed by plan documents and policies.
#J-18808-Ljbffr
Revenue Integrity Analyst (Full-Time) Hybrid
to support the Revenue Cycle. The role focuses on root cause analytics and audits to identify opportunities and drive process improvement within an Epic-based EMR. This position supports revenue cycle workflows, charge capture, work queues, and denial review for Hospital, Physician, and Home Health services.
Location:
PACCT - 2000 Crawford Place
Remote Type:
Hybrid
Employment Type:
Employee
Employment Classification:
Regular
Time Type:
Full time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
40
Additional Locations:
–
Position Responsibilities
Perform quantitative and financial analysis along with audits to identify opportunities for improvement across the Revenue Cycle.
Ensure charge master and fee schedules comply with government policies and third-party payor requirements; review CPT changes and regulatory updates; coordinate updates with relevant departments.
Conduct analytical reviews to determine the net revenue impact of charge master and fee schedule changes.
Perform internal billing audits to ensure correct coding/billing regulatory compliance and accurate charge capture.
Develop strong working relationships with Revenue Integrity, Finance, Information Technology, and Clinical Operations to enable deep-dive analysis and corrective actions.
Monitor Epic workqueues; analyze issues, identify trends, and develop action plans.
Assist in strategic pricing to optimize reimbursement within budget guidelines; troubleshoot and resolve revenue cycle issues.
Provide guidance and collaborate with Revenue Integrity, Clinical Operations, and IT to ensure workqueue rules reflect coding changes.
Assist with Epic performance reporting, including Revenue & Usage, Enterprise Charge Reconciliation, and Volume Reports.
Serve as a resource to Patient Financial Services on reporting problems and denials; research coding issues and advise on solutions.
Analyze billing errors and denial data to identify root causes and implement corrective actions across Hospital, Physician, and Home Health areas.
Lead or participate in Revenue Cycle projects; contribute to annual Revenue Integrity planning and special initiatives.
Qualifications
Required Experience:
3 to 5 years of experience within a large hospital or integrated healthcare delivery system.
Ability to collaborate across disciplines and business lines; strong communication, interpersonal, and presentation skills; customer-focused.
Excellent critical thinking and analytical skills; ability to prioritize, plan, and execute.
Required Education:
Bachelor’s Degree in Accounting, Finance, or Healthcare preferred
Training / Certification / Licensure:
EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification preferred
Compensation and Benefits Annual Salary: $68,878 - $109,958. The actual salary varies based on experience and market data. Virtua offers a comprehensive benefits package for full-time colleagues, including medical/dental/vision insurance, 403(b), paid time off, paid sick leave, disability and life insurance, tuition assistance, and employee assistance programs. Eligibility for benefits is governed by plan documents and policies.
#J-18808-Ljbffr