Senior Charge Management Coordinator - Revenue Integrity

UVA Health System; Charlottesville (VA); Remoto; USD 60.000 - 121.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental, and Vision Insurance

Generous Paid Time Off

Retirement Savings

Long-term and Short-term Disability

HSA/FSAs and Wellness benefits

Certification and Education Support

Descrizione del lavoro

UVA Health System in Charlottesville is seeking a Senior Charge Management Coordinator to protect revenue integrity in a predominantly remote role. You will leverage Epic work queue management, hospital billing analysis, and charge review to identify not only how to fix issues, but why they occurred and how to prevent recurrence.

You will collaborate with Revenue Integrity colleagues on complex account reviews, investigate root causes, and implement long-term process improvements while balancing

Competenze

• Experience in a complex hospital revenue cycle environment.
• Knowledge of third-party billing and reimbursement methodologies.
• Understanding CPT Level II/III HCPCS and hospital charging methods.

Mansioni

• 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, upscale emerging issues, and recommend long-term process improvements.
• 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.

Conoscenze

Charge management

Revenue integrity

Billing analysis

Root cause investigation

Formazione

Bachelor’s degree

Strumenti

Epic

CMS claims processing

Descrizione del lavoro

UOVUNIUSR0082855EXTERNALENUS

Bring your investigative mindset and revenue cycle expertise to a role where solving complex charge and claim issues creates lasting operational impact. As a Senior Charge Management Coordinator, you will help protect revenue integrity by identifying not only how to resolve billing errors, but why they occurred and how to prevent them from recurring.

This experienced-level position supports UVA Health’s Revenue Integrity operations through Epic work queue management, hospital billing analysis, charge review, denial resolution, and root cause investigation. You will work with a collaborative team that values thoughtful analysis, respectful discussion, independent decision-making, and measurable improvements to revenue cycle performance.

The Role

Approximately 95% of your workday will be spent in Epic, managing complex hospital billing workflows and investigating issues involving claims, charges, clinical documentation, provider orders, and payer requirements. This is not simply a transactional edit-clearing position. You will be expected to recognize patterns, dig into recurring problems, and recommend solutions that improve performance upstream.

In an average day, you may:

• 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, upscale 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.

Successful candidates bring at least five years of experience in a complex hospital setting, along with knowledge of third-party billing, reimbursement methodologies, CPT Level II and III HCPCS, hospital charging methods, and medical terminology. A bachelor’s degree is required, although relevant experience may be considered in lieu of the degree.

Epic Hospital Billing and work queue experience are highly preferred. Experience with Professional Billing, CMS-1500 claims, coding, revenue integrity, Clinical Documentation Improvement, or academic medical center operations can provide additional value. CPC certification is preferred but not required, and practical Epic knowledge is more important than Epic certification.

The strongest candidates are self-directed professionals who approach problems like investigators. You will thrive in this role if you are naturally curious, willing to question why an issue occurred, receptive to feedback, and comfortable balancing well-supported viewpoints with a shared focus on outcomes.

Why UVA Health

At UVA Health, revenue integrity work supports the financial and operational foundation of an academic health system delivering complex patient care, education, research, and innovation. Your expertise will help strengthen billing accuracy, regulatory compliance, and the processes that allow clinical teams to focus on delivering exceptional care.

This opportunity offers:

• Meaningful analytical work that goes beyond correcting individual accounts to addressing systematic issues.
• The ability to influence workflows and contribute to sustainable improvements across Revenue Integrity operations.
• A highly collaborative culture where team members openly discuss complex cases, respectfully challenge ideas, and work toward the strongest outcome.
• High levels of autonomy within a predominantly remote team environment.
• A supportive leadership approach that welcomes employee input, encourages professional growth, and values expertise over hierarchy.
• Exposure to the scope and complexity of an academic medical center, including challenging billing and charging scenarios.
• Opportunities to deepen your knowledge of Epic, payer requirements, charge management, denial prevention, and root cause analysis.

This position is predominantly remote, with regular team meetings and collaborative case discussions.

MINIMUM REQUIREMENTS

Education: Bachelor’s degree required or relevant experience may be considered in lieu of Bachelor's degree.

Experience: A minimum of five years of experience required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required. Understanding of CPT level II and III HCPCS and hospital charging methods is essential General comprehension of medical terminology is necessary.

Licensure: none

PHYSICAL DEMANDS

Job requires sitting for prolonged periods, frequently traveling (no more than two miles); Repetitive motion: (Typing). Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull less than 20lbs. May be exposed to cold, heat and outdoor climate.

The pay range for this role is $60,257.00 - $120,513.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.