Job Description

Looking for your next career opportunity in healthcare? At VHC Health, our staff exceeds expectations by performing at the top-level of the profession. The purpose of the Revenue Integrity Analyst is to analyze and resolve the Epic Billing Edits and to analyze medical records that cross over several service areas. Error resolution requires a unique combination of clinical, coding, and compliance knowledge. This position supports the Revenue Cycle Integrity Auditor to ensure the expeditious resolution of claim holds, billing accuracy and the maximization of revenue in compliance with Medicare regulations.

Come join a hospital dedicated to you and your career!

VHC Health is a 453-bed not-for-profit nationally recognized Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. VHC Health is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations), a designated Level II Trauma Center and a recognized Magnet Facility by the American Nurses Credentialing Center. We are proud to announce that the Leapfrog Group has awarded the hospital with an 'A' grade in Hospital Safety for the 19th year in a row, achieved an Outstanding Patient Experience Award™ for the 10th year in a row and has ranked Number 2 in “Best Hospitals” in the Washington, DC area by U.S. News and World Report's 2021-2022 rankings. At VHC Health we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients

Qualifications

• College Diploma in a Related Field required. College Diploma in Healthcare preferred.
• Two years of Hospital Billing required.
• Experience in Healthcare Finance preferred.
• One year of experience in Epic Applications preferred. Microsoft Office Suite experience required.
• Coding Credential (RHIT, CCS, etc.) preferred.
• Epic Certification preferred.
• General knowledge of Reimbursement Regulations and Charge description master (CDM) and 837 and UB04 billing.
• Must be able to communicate effectively with management personnel both verbally and in writing.
• Must be detail oriented, independent, and a self starter.

Responsibilities

• Review WQs daily.
• Analyze WQ edits and determine appropriate action.
• Assign edits to appropriate WQs and/or send emails.
• Work with Revenue Cycle Integrity Auditor or Nurse Auditor – Senior to provide education to departments regarding appropriate documentation and charging to ensure compliance with billing rules.
• Maintain process documents for revenue integrity procedures.
• Analyze the effect of regulatory changes and amend charging procedures as appropriate.
• Maintain up-to-date knowledge of Medicare and other insurer’s billing requirements and work with Revenue Cycle Integrity Auditor or Nurse Auditor - Senior to implement changes in hospital revenue systems to comply.
• Review departmental charging policies.
• Maintain up-to-date documentation of charge rules by department.

Benefits

• Paid Major Holidays
• Generous Paid Time Off / Vacation
• Sick Time
• Health Insurance
• Dental Insurance
• Undergraduate Student Loan Repayment
• Flexible Spending Accounts (FSA)
• Health Savings Account (HSA)
• Health Fitness & Education Class Discounts
• Employee Wellness Benefits
• Hospital Discount for Employees and Family
• VHC Retirement Program
• Tuition Reimbursement
• Free onsite parking
• Commuter Benefits
• Career Coaching
• Family Leave
• 401(k) + Match
• and much more!

Visit us on Instagram: @LifeatVHChealth

APPLY HERE: https://careers-vhchealth.icims.com/jobs/5641/revenue-integrity-analyst--epic-workqueues/job

Meet your future team members here:

https://app.altrulabs.com/virginiahospitalcenter/vhchealthcareers

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• Associate (Required)

Experience:

• Epic Applications: 1 year (Preferred)
• Hospital Billing: 2 years (Required)

License/Certification:

• Epic Certification (Preferred)

Work Location: In person

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