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Manager Revenue Integrity

Inova Health

Job Description 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. 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 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 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. Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law. #J-18808-Ljbffr Inova Health

Vacancy posted 5 days ago
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