Epic Charge Management Lead - Remote (Revenue Integrity)

UVA Health; Virginia; A distancia; USD 60.000 - 121.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision benefits

Paid time off

Retirement savings plan

Disability insurance

Health savings account (HSA) / FSAs

Education support

Descripción de la vacante

UVA Health in Charlottesville, VA is seeking a Senior Charge Management Coordinator to protect revenue integrity by investigating charge and claim issues and identifying root causes.

You will work predominantly remotely with Epic work queues, hospital billing analysis, denial resolution, and collaboration with Revenue Integrity colleagues to drive measurable improvements in revenue cycle performance.

Formación

• Bachelor's degree required or relevant experience may be considered in lieu of degree.
• Minimum of five years of experience in a complex hospital setting.
• Knowledge of third-party billing and reimbursement methodologies; CPT Level II/III HCPCS and hospital charging methods.

Responsabilidades

• Resolve Epic Hospital Billing work queue errors, claim edits, charge errors, and denial-related issues.
• Review and manage charge review workflows, including Medically Unlikely Edits and medical necessity edits.
• Analyze hospital claims and account activity using clinical documentation, provider orders, charges, revenue codes, CPT fundamentals, and modifiers.
• Research billing requirements across Medicare, Medicaid, and commercial payers.
• Read and interpret UB claim forms and apply knowledge of hospital charging and reimbursement methodologies.
• Investigate recurring edits and denials to identify root causes, system gaps, and process breakdowns.
• Recognize trends, escalate emerging issues, and recommend long-term process improvements that prevent future errors.
• Collaborate with Revenue Integrity colleagues on complex account reviews and share findings across the work queue and analytics functions.
• Coach, review, or delegate work to less experienced professionals when appropriate.
• Balance productivity and accuracy while independently managing priorities in a predominantly remote environment.

Conocimientos

Epic experience

Revenue integrity

Hospital billing

Analytical thinking

Problem solving

Educación

Bachelor’s degree

Herramientas

Epic

CMS-1500

Descripción del empleo

UVA Health in Charlottesville, VA is seeking a Senior Charge Management Coordinator to protect revenue integrity by investigating charge and claim issues and identifying root causes.

You will work predominantly remotely with Epic work queues, hospital billing analysis, denial resolution, and collaboration with Revenue Integrity colleagues to drive measurable improvements in revenue cycle performance.