Find your next role
Discover roles across ambitious teams
14,805 jobs
- More jobs
WVU Medicine
Revenue Integrity Specialist
Remote · Full time · Mid level
About the role
Review charge review, claim, and denial edits to ensure compliance and maximize reimbursement. Collaborate with leadership to optimize claim editing software and billing processes.
What you’ll do
• Manage payor and claim edits accurately and compliantly. • Track edited accounts and report trends to leadership. • Monitor and report on denial appeals and follow-ups. • Assist departments with compliance on claim edits. • Perform root-cause analysis to reduce non-billable charges.
What you’ll bring
• High School Diploma or equivalent. • Two years billing-revenue cycle experience. • Knowledge of medical terminology and billing codes. • Analytical and communication skills. • Understanding of payer policies and government regulations.
About WVU Medicine
WVU Medicine is part of West Virginia University Health System providing healthcare services and patient financial services.