Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel
Job Overview
Employment Type
Full-time
Compensation
Salary
Range $70,935.00 - $110,268.00
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
health flexible spending accounts
dependent care flexible spending accounts
Paid Time Off
short-term disability
long-term disability
Colleague life insurance
supplemental life insurance
accidental death and dismemberment insurance
Tuition Assistance
Employee assistance program
Job Description
Virtua Health is a prominent healthcare network based in New Jersey, renowned for its commitment to delivering high-quality patient care through a comprehensive range of medical services. As an integrated healthcare delivery system, Virtua Health operates multiple hospitals, physician groups, and home health services, providing a continuum of care aimed at improving community health outcomes. The institution embraces innovation, leveraging advanced technologies like the EPIC electronic medical record (EMR) system to optimize healthcare delivery and administrative efficiency. Virtua Health fosters a collaborative workplace culture where multidisciplinary teams work closely to enhance patient experiences and operational excellence. The organization places a strong emphasis on professional development, offering robust training and benefits packages to support its workforce at various stages of their careers.
The position available at Virtua Health is a full-time Revenue Cycle Analyst role based in Mount Laurel, New Jersey, with standard hours from 8:30 am to 5:00 pm, Monday through Friday. Initially, the schedule requires working onsite from Monday to Thursday, with Fridays remote; following successful training, the role transitions to a hybrid work model with two days onsite and three days remote weekly. This role is pivotal within the Revenue Cycle team, focusing on root cause analytics and audits to identify improvements and resolve issues related to charge capture, billing workflows, and denial management within an EPIC-based environment. The analyst will support Virtua's hospital services, physician groups, and home health care entities, ensuring compliance with government policies, third-party payer requirements, and up-to-date CPT coding standards.
In this critical role, the Revenue Cycle Analyst will engage in detailed quantitative and financial analyses, review charge master and fee schedules, and conduct auditing tasks to validate coding accuracy and compliance. The position involves close collaboration with departments such as Revenue Integrity, Finance, IT, and Clinical Operations to investigate trends and develop corrective actions that optimize revenue processes. Additionally, the analyst will participate in strategic pricing decisions, monitor revenue work queues, and assist in performance reporting related to billing and charge reconciliation. Expertise in handling coding and billing denials, analyzing root causes, and supporting training and communication efforts across various teams will contribute to enhanced revenue integrity and operational success at Virtua Health. With a competitive annual salary range from $70,935 to $110,268, commensurate with experience and aligned with market data, this role provides a rewarding career opportunity for professionals passionate about healthcare revenue cycle management and continuous improvement.
The position available at Virtua Health is a full-time Revenue Cycle Analyst role based in Mount Laurel, New Jersey, with standard hours from 8:30 am to 5:00 pm, Monday through Friday. Initially, the schedule requires working onsite from Monday to Thursday, with Fridays remote; following successful training, the role transitions to a hybrid work model with two days onsite and three days remote weekly. This role is pivotal within the Revenue Cycle team, focusing on root cause analytics and audits to identify improvements and resolve issues related to charge capture, billing workflows, and denial management within an EPIC-based environment. The analyst will support Virtua's hospital services, physician groups, and home health care entities, ensuring compliance with government policies, third-party payer requirements, and up-to-date CPT coding standards.
In this critical role, the Revenue Cycle Analyst will engage in detailed quantitative and financial analyses, review charge master and fee schedules, and conduct auditing tasks to validate coding accuracy and compliance. The position involves close collaboration with departments such as Revenue Integrity, Finance, IT, and Clinical Operations to investigate trends and develop corrective actions that optimize revenue processes. Additionally, the analyst will participate in strategic pricing decisions, monitor revenue work queues, and assist in performance reporting related to billing and charge reconciliation. Expertise in handling coding and billing denials, analyzing root causes, and supporting training and communication efforts across various teams will contribute to enhanced revenue integrity and operational success at Virtua Health. With a competitive annual salary range from $70,935 to $110,268, commensurate with experience and aligned with market data, this role provides a rewarding career opportunity for professionals passionate about healthcare revenue cycle management and continuous improvement.
Job Requirements
- bachelor's degree
- 3 to 5 years' experience in hospital or integrated healthcare system
- strong communication skills
- ability to collaborate across departments
- excellent analytical and critical thinking skills
- proven planning and execution capabilities
- customer service orientation
- EPIC system experience preferred
- knowledge of hospital charge description master and charge audits preferred
- understanding of coding and billing guidelines preferred
Job Qualifications
- bachelor's degree in accounting, finance, or healthcare preferred
- 3 to 5 years' experience in a large hospital or integrated healthcare system
- ability to work collaboratively across disciplines and business lines
- exceptional oral and written communication skills
- highly customer focused
- excellent interpersonal and presentation skills
- ability to communicate effectively with diverse customers
- strong prioritization, planning, and execution skills
- excellent critical thinking and analytical skills
- EPIC Revenue Integrity, Hospital Billing, or Physician Billing certification preferred
Job Duties
- perform quantitative and financial analysis and audits to identify revenue cycle improvement opportunities
- assist in ensuring charge master and fee schedules comply with government and third-party policies
- review and analyze CPT changes related to AMA updates and regulations
- coordinate with revenue departments to maintain charge master accuracy including coding, pricing, and descriptions
- conduct billing audits to ensure coding and billing compliance
- build strong relationships with Revenue Integrity, Finance, IT, and Clinical Operations management and staff
- monitor and analyze revenue cycle work queues in EPIC
- assist in strategic pricing and resolution of revenue issues
- provide guidance and collaborate with teams to update work queue rules
- support Epic performance reporting including charge reconciliation and volume reports
- serve as a resource for Patient Financial Services on claim reporting and denial issues
- analyze billing errors and denial data to identify root causes
- lead and participate in revenue cycle projects and initiatives
- provide input for annual Revenue Integrity planning
- assist with hospital, physician, and home health related projects
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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