Virtua Health · 2 months ago
Revenue Integrity Analyst (Full-Time) Hybrid
Mount Laurel, NJ
Full-time
Hybrid
Mid Level
3+ years expVirtua Health is a healthcare organization seeking a Revenue Integrity Analyst. The role is responsible for conducting root cause analytics and audits to identify opportunities and improve processes within the Revenue Cycle, supporting various healthcare departments.
Health Care
Responsibilities
Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle
Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs
Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set
Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes
Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes
Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy
Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps
Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team
Revenue Cycle will include areas from Hospital, Physician and Home Health
Monitor and assists with review of revenue cycle workqueues in Epic
Perform analysis to identify issues, trending, root cause, and action plan development with workqueue issues
Assist in strategic pricing process to optimize reimbursement within budget guidelines
Participate in ongoing coordination and resolution of revenue issues as they arise
Assists in troubleshooting and resolving issues related to the patient revenue cycle, and assists in development and recommendations
Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure workqueue rules are accurate and updated based on annual and quarterly coding changes
Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports
Workqueue and reporting will include areas from Hospital, Physician and Home Health
Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims
Assist in researching coding issues, provide guidance and recommend solution to account representative
Analyze billing errors and denial data to identify root cause of issues
Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement
Claim issues and denials will include areas from Hospital, Physician and Home Health
Lead and participate in projects related to Revenue Cycle initiatives
Participate in ongoing coordination and resolution of revenue issues as they arise
Provide input to Director and Manager for annual Revenue Integrity planning process
Assist with additional projects as needed for Hospital, Physician and Home Health
Qualification
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/written communication skills and highly customer-focused
Excellent interpersonal and presentation skills
Able to communicate with many, various customers
Ability to prioritize, plan and execute
Excellent critical thinking, analytical skills
Bachelor Degree, in Accounting, Finance, Healthcare preferred
Preferred
EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines
EPIC Revenue Integrity
Hospital Billing
Physician Billing Certification
Company
Virtua Health
Virtua provides innovative outreach programs that address social challenges affecting health.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Dennis W. Pullin
President and CEO
Recent News
The Philadelphia Inquirer
2026-01-08
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