Manager Revenue Integrity

Inova Health System; Falls Church (VA); Hybrid; USD 130,000 - 180,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement match

Student loan assistance

Mental health support

Paid time off

Parental leave

Flexible work schedules

Remote/hybrid options

Job summary

Inova Health System in Falls Church, VA is seeking a dedicated Manager of Revenue Integrity to oversee charge capture, reconciliation, and WQ management. This full-time role offers Monday through Friday shifts and opportunities for remote or hybrid work.

You will collaborate with service lines, Revenue Cycle teams, and clinical operations to optimize reimbursement, reduce denials, and drive process improvements using innovative technologies.

Qualifications

• 7 years of healthcare revenue cycle oversight experience.
• 1 year of supervisory experience.
• Licensure or certification: RHIT/RHIA/CCS/CPC or RN license.
• Bachelor's degree or equivalent experience.

Responsibilities

• Oversee HB and PB Revenue Integrity functions including charge capture, charge reconciliation, and WQ management.
• Collaborate with Service Lines, operational leaders, and Revenue Cycle teams to improve charge capture accuracy, workflow efficiency, and reimbursement outcomes.
• Analyze Revenue Cycle trends, denials, reconciliation variances, and operational performance metrics to identify opportunities for process improvement and revenue optimization.
• Coordinate with Denials Prevention, coding, billing, compliance, clinical operations, and finance for proactive issue resolution and regulatory compliance.
• Lead strategic initiatives for Revenue Integrity optimization and standardization across HB and PB environments.
• Oversee WQ prioritization, workflow management, escalation processes, and accountability measures for timely resolution of revenue-impacting issues.
• Evaluate and support implementation of innovative technologies, automation opportunities, and AI-driven initiatives to improve efficiency and reporting.
• May perform additional duties as assigned.

Skills

Revenue cycle oversight

Charge capture

Supervisory experience

Regulatory compliance

Process improvement

AI/Automation awareness

Education

Bachelor's degree

Associate degree + 2 years experience

HS Diploma/GED + 4 years experience

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.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

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