Billing Integrity Liaison

Inova Health is looking for a dedicated Billing Integrity Liaison to join the team. This role will be full-time remote position. The Billing Integrity Liaison ensures accurate billing by researching regulatory requirements and collaborating with stakeholders to advise on new services, departments, and Epic IT builds.

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.

Billing Integrity Liaison Job Responsibilities:

• Acts as a billing compliance resource for Single Billing Office (SBO), Revenue Integrity, Compliance, Physician Group, Hospital Outpatient Provider-Based Departments (HOPD) leaders and others as directed, using all the resources necessary to research and provide a compliant answer to all questions. Situations may include but are not limited to: charging guidelines; billing guidelines, and/or appropriate use of CPT, HCPCS, Revenue Codes, Modifiers.
• Collaborates with SBO, Revenue Integrity, Compliance, HOPD and other leaders on opening new or making changes to an existing hospital department to include the Epic IT initial build or changes to existing build, adding new services, location changes, etc., as directed.
• Collaborate with SBO, Revenue Integrity, Compliance, Professional Group and other leaders on opening new freestanding facilities/clinics to include the Epic IT initial build or changes for new groups, new services, location changes, etc., as directed.
• Research recurrent denials as directed and collaborate with the Revenue Integrity, SBO, Compliance, Physician Group, HOPD and other leaders to resolve.

Billing Integrity Liaison Job Requirements:

• Work schedule: Full time, remote position Monday - Friday, 8:00 a.m. - 5:00 p.m.
• Education: Bachelor's degree (or 4 additional years of applicable experience in lieu of degree)
• Experience: 5 years of healthcare billing/charge experience

Preferred Qualifications:

• Hospital coding experience highly preferred
• Hospital compliance and audit procedure experience highly preferred
• EPIC experience highly preferred