Senior Charge Integrity Analyst (Remote; Epic)

University of Virginia

Charlottesville (VA)

Remote

USD 60,000 - 121,000

Full time

4 days ago
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Job summary

UVA Health in Charlottesville, VA seeks a Senior Charge Management Coordinator to protect revenue integrity by investigating billing errors, understanding why they occurred, and implementing preventive solutions. This role supports Epic workflow management, hospital billing analysis, charge review, denials resolution, and root-cause investigation within a collaborative, largely remote team.

The position requires at least five years of experience in a complex hospital environment, knowledge of

Qualifications

  • Bachelor's degree required; relevant experience may be considered in lieu of degree.
  • Minimum five years of experience in a complex hospital setting.
  • Experience with third-party billing, reimbursement methodologies, CPT Level II and III HCPCS, hospital charging methods.
  • Experience with Epic Hospital Billing and work queues preferred.

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, escape 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.

Skills

Epic systems
Revenue integrity
Charge review
Root cause analysis
Hospital billing analysis
CPT HCPCS knowledge

Education

Bachelor's degree

Job description

UVA Health in Charlottesville, VA seeks a Senior Charge Management Coordinator to protect revenue integrity by investigating billing errors, understanding why they occurred, and implementing preventive solutions. This role supports Epic workflow management, hospital billing analysis, charge review, denials resolution, and root-cause investigation within a collaborative, largely remote team.

The position requires at least five years of experience in a complex hospital environment, knowledge of

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