Remote Charge Management Lead - Revenue Integrity

Commonwealth of VA Careers; Charlottesville (VA); Remote; USD 60,000 - 121,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Generous Paid Time Off

Retirement Savings

Long-term and Short-term Disability

Health Saving Plans, and Flexible Sp.

Certification and Education Support

Career development opportunities

Job summary

UVA Health seeks a Senior Charge Management Coordinator to protect revenue integrity by identifying cause and prevention strategies for billing issues. You will manage Epic work queues, analyze hospital billing, review charges, resolve denials, and investigate root causes in a collaborative, largely remote team.

Successful candidates bring 5+ years in a complex hospital setting, with CPT/HCPCS knowledge and familiarity with professional and hospital billing frameworks.

Qualifications

• Five years of experience in a complex hospital setting.
• Knowledge of third-party billing and reimbursement methodologies.
• Understanding of CPT Level II and III HCPCS and hospital charging methods.
• General medical terminology knowledge.

Responsibilities

• 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, elevate emerging issues, and recommend long-term process improvements.
• Collaborate with Revenue Integrity colleagues on complex account reviews and share findings.
• Coach, review, or delegate work to less experienced professionals.
• Balance productivity and accuracy while managing priorities in a predominantly remote environment.

Skills

Epic work queue management

Hospital billing analysis

Charge review

Denial resolution

Root cause investigation

Education

Bachelor's degree

Tools

Epic

Job description

UVA Health seeks a Senior Charge Management Coordinator to protect revenue integrity by identifying cause and prevention strategies for billing issues. You will manage Epic work queues, analyze hospital billing, review charges, resolve denials, and investigate root causes in a collaborative, largely remote team.

Successful candidates bring 5+ years in a complex hospital setting, with CPT/HCPCS knowledge and familiarity with professional and hospital billing frameworks.