Virtua Health
Revenue Integrity Analyst (Full-Time) Hybrid
Virtua Health, Mount Laurel, New Jersey, United States
Revenue Integrity Analyst (Full-Time) Hybrid
Location: Mount Laurel, NJ
Virtua Health is hiring this role. The position is responsible for root cause analytics along with audits to identify opportunities, issues, and process improvements within the Revenue Cycle.
Job Summary The role supports revenue cycle workflows, charge capture, workqueue and denial review processes within an Epic based EMR. It evaluates, validates and trends data for presentation to all levels of the organization, supporting Virtua Hospitals, Physician Groups and Home Health.
Position Responsibilities Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.
Assist in ensuring the charge master and fee schedules comply with government policies and third‑party payer needs.
Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes.
Work with revenue producing departments to maintain consistency of the charge master and fee schedules.
Conduct analytical reviews to determine net revenue effects of proposed changes.
Perform internal billing audits to ensure coding/billing regulatory compliance and charge capture accuracy.
Build close working relationships with management and staff in Revenue Integrity, Finance, IT, and Revenue and Clinical Operations.
Monitor and review revenue cycle workqueues in Epic, analyzing issues, trending, root cause, and action plans.
Assist in strategic pricing process to optimize reimbursement within budget guidelines.
Assist with Epic performance reporting, including Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports.
Serve as a resource to Patient Financial Services staff for reporting problems and denials, researching coding issues, and recommending solutions.
Analyze billing errors and denial data to identify root cause, and collaborate to implement corrective actions.
Lead and participate in projects related to Revenue Cycle initiatives and provide input to the Director and Manager for annual planning.
Position Qualifications Required 3 to 5 years experience within a large hospital or integrated healthcare delivery system.
Ability to work collaboratively across disciplines and business lines.
Exceptional oral and written communication skills and a highly customer‑focused approach.
Excellent interpersonal and presentation skills.
Strong ability to communicate with diverse customers.
Ability to prioritize, plan and execute.
Excellent critical thinking and analytical skills.
Required Education Bachelor Degree in Accounting, Finance, or Healthcare preferred.
Training / Certification / Licensure EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification (preferred).
Schedule Monday‑Friday 8:30 am‑5 pm. The first 90 days will be Monday‑Thursday onsite and Friday remote. After training, the schedule will be 2 days onsite and 3 days remote.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance and Sales
Industry: Hospitals and Health Care
Preferred Experience
EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines
#J-18808-Ljbffr
Virtua Health is hiring this role. The position is responsible for root cause analytics along with audits to identify opportunities, issues, and process improvements within the Revenue Cycle.
Job Summary The role supports revenue cycle workflows, charge capture, workqueue and denial review processes within an Epic based EMR. It evaluates, validates and trends data for presentation to all levels of the organization, supporting Virtua Hospitals, Physician Groups and Home Health.
Position Responsibilities Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.
Assist in ensuring the charge master and fee schedules comply with government policies and third‑party payer needs.
Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes.
Work with revenue producing departments to maintain consistency of the charge master and fee schedules.
Conduct analytical reviews to determine net revenue effects of proposed changes.
Perform internal billing audits to ensure coding/billing regulatory compliance and charge capture accuracy.
Build close working relationships with management and staff in Revenue Integrity, Finance, IT, and Revenue and Clinical Operations.
Monitor and review revenue cycle workqueues in Epic, analyzing issues, trending, root cause, and action plans.
Assist in strategic pricing process to optimize reimbursement within budget guidelines.
Assist with Epic performance reporting, including Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports.
Serve as a resource to Patient Financial Services staff for reporting problems and denials, researching coding issues, and recommending solutions.
Analyze billing errors and denial data to identify root cause, and collaborate to implement corrective actions.
Lead and participate in projects related to Revenue Cycle initiatives and provide input to the Director and Manager for annual planning.
Position Qualifications Required 3 to 5 years experience within a large hospital or integrated healthcare delivery system.
Ability to work collaboratively across disciplines and business lines.
Exceptional oral and written communication skills and a highly customer‑focused approach.
Excellent interpersonal and presentation skills.
Strong ability to communicate with diverse customers.
Ability to prioritize, plan and execute.
Excellent critical thinking and analytical skills.
Required Education Bachelor Degree in Accounting, Finance, or Healthcare preferred.
Training / Certification / Licensure EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification (preferred).
Schedule Monday‑Friday 8:30 am‑5 pm. The first 90 days will be Monday‑Thursday onsite and Friday remote. After training, the schedule will be 2 days onsite and 3 days remote.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance and Sales
Industry: Hospitals and Health Care
Preferred Experience
EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines
#J-18808-Ljbffr