Revenue Integrity and Data Specialist

Revenue Integrity and Data Specialist
Fairfax Radiology Centers | Hybrid | Full-Time
1–2 Days On-Site Per Week Initially | Potential for Increased Remote Flexibility

Turn Data Into Insights — Help Protect Revenue That Supports Exceptional Patient Care

This is an Internal Job Posting for Current FRC Employees Only

At Fairfax Radiology Centers (FRC) , delivering exceptional patient care requires more than advanced imaging technology and clinical expertise. Behind the scenes, our Revenue Cycle team plays a critical role in ensuring financial accuracy, operational efficiency, and the long-term strength of our organization.

We're seeking an analytical, detail-oriented, and solutions-driven Revenue Integrity and Data Specialist to join our Revenue Cycle team.
In this role, you'll go beyond traditional billing and accounts receivable functions to uncover reimbursement discrepancies, analyze financial trends, evaluate billing vendor performance, and identify opportunities to protect revenue and improve processes.

If you enjoy working with data, investigating complex issues, finding the story behind the numbers, and turning your findings into meaningful improvements, this is an opportunity to make a measurable impact.

Why You'll Love Working Here
- Hybrid Work Environment – Initially work on-site just 1–2 days per week, with the potential for increased remote flexibility based on departmental needs.
- Meaningful, Data-Driven Work – Use your analytical skills to identify revenue leakage, uncover reimbursement discrepancies, and improve financial performance.
- Opportunity to Influence Improvements – Your findings and recommendations will help strengthen billing accuracy, vendor accountability, and revenue cycle operations.
- Cross-Functional Collaboration – Partner with organizational leadership, external billing vendors, insurance payers, and internal operational teams.
- Technology & Innovation – Work with advanced Excel tools, Power BI or comparable reporting platforms, and revenue cycle systems while contributing to technology and process improvements.
- Comprehensive Benefits Package , including: Medical, dental, and vision insurance
- Paid time off and holidays
- Tuition and continuing education reimbursement
- Employer-paid short- and long-term disability
- Life insurance
- Profit Sharing Plan

What You'll Do
Revenue Integrity, Auditing & Analytics
- Conduct revenue integrity and underpayment audits to identify reimbursement discrepancies, inappropriate adjustments, billing inaccuracies, and potential revenue leakage.
- Analyze reimbursement trends, denial patterns, contractual allowances, write-offs, and other revenue cycle data to identify opportunities for improvement.
- Review and validate reports, dashboards, and financial data to ensure accuracy and investigate discrepancies.
- Quantify the financial impact of identified issues and recommend corrective actions.
- Develop targeted analyses, monitoring tools, and internal controls to strengthen revenue integrity and prevent recurring issues.
- Monitor corrective actions to ensure problems are resolved and improvements are sustained.
External Billing Vendor Oversight & Performance
- Evaluate external billing vendor performance using key performance indicators (KPIs), account reviews, reporting, and reimbursement trends.
- Analyze vendor-processed accounts to assess billing accuracy, payment performance, denials, adjustments, and account resolution.
- Research complex vendor inquiries involving reimbursement variances, payer configuration, denials, and billing discrepancies.
- Participate in vendor meetings, share analytical findings, and collaborate on opportunities to improve revenue cycle performance.
- Serve as a knowledgeable resource to external billing partners on organizational processes, payer requirements, and operational workflows.
Revenue Cycle Systems & Process Improvement
- Utilize advanced Excel, Power BI or comparable reporting tools, and revenue cycle systems to analyze large datasets and identify trends.
- Investigate system, interface, and workflow issues that impact billing accuracy, reimbursement, or reporting.
- Support system upgrades, testing, data validation, configuration changes, and implementation of new revenue cycle technology.
- Participate in future EMR/EHR implementations, helping ensure accurate workflows, data integrity, and operational readiness.
- Maintain accurate fee schedules and insurance profiles to support revenue cycle operations and patient cost estimates.
- Identify opportunities to streamline processes, strengthen internal controls, improve reporting, and introduce efficiencies.
Accounts Receivable & Reimbursement Analysis
- Analyze legacy accounts receivable to identify outstanding balances, denials, underpayments, and opportunities for account resolution.
- Research and resolve complex payer issues, including appropriate follow-up and escalation.
- Perform reimbursement analyses and financial modeling to support managed care activities, payer escalations, and contract-related matters.
- Validate reimbursement accuracy following payer corrections, contract changes, or system updates.
- Support initiatives to resolve outstanding accounts and reduce revenue risk.
Internal Revenue Cycle Support & Collaboration
- Provide timely support to internal teams, including Hospitality Associates, on insurance coverage, payer participation, and reimbursement questions through Microsoft Teams and telephone support.
- Research and resolve complex billing, payer, and revenue cycle questions requiring detailed investigation.
- Collaborate with internal departments and external partners to support special billing arrangements, pricing analyses, and reimbursement-related projects.
- Participate in cross-functional initiatives focused on improving revenue cycle accuracy, efficiency, and performance.

What You'll Bring
Required Qualifications
- Bachelor's degree in Healthcare Administration, Health Sciences, Finance, or a related field, along with at least three years of healthcare revenue cycle experience involving reimbursement analysis, denials, accounts receivable, revenue integrity, or billing performance analysis. An equivalent combination of education and experience will be considered.
- Advanced Microsoft Excel skills , including PivotTables, XLOOKUP/VLOOKUP or comparable lookup functions, formulas, data reconciliation, data validation, and analysis of large datasets.
- Experience developing and analyzing reports, dashboards, and key performance indicators (KPIs) using Power BI or comparable business intelligence and reporting tools .
- Working knowledge of healthcare revenue cycle systems, medical billing workflows, insurance payer requirements, and reimbursement processes.
- Experience researching and resolving complex billing discrepancies, reimbursement variances, and payment issues.
- Strong analytical, critical-thinking, problem-solving, and organizational skills, with the ability to communicate findings and collaborate effectively with internal and external partners.
Preferred Qualifications
- Professional certification in healthcare billing, coding, reimbursement, or revenue cycle, such as CPC, CRCR, CBCS, CRCS, or a comparable certification.
- Experience conducting revenue integrity audits, identifying revenue leakage, or analyzing underpayments.
- Experience evaluating external billing vendor performance and revenue cycle KPIs.
- Familiarity with system testing, workflow development, data validation, or revenue cycle technology implementations.

Why Fairfax Radiology Centers?
As the largest radiology practice in the Washington, DC metropolitan area, Fairfax Radiology Centers is recognized for combining advanced diagnostic imaging technology with exceptional, patient-centered care.
With more than 20 outpatient imaging centers and a team of subspecialized radiologists, we are committed to delivering high-quality imaging services while continually improving the experience for our patients, referring providers, and employees.

Our culture is built on Respect, Trust, Compassion, and Innovation — values that guide how we care for patients and work together as a team.

Whether your role is clinical, operational, or administrative, your contributions matter.

Ready to Make a Difference?
If you're a healthcare revenue cycle professional who loves working with data, uncovering opportunities for improvement, and solving complex reimbursement challenges, we'd love to learn more about you.

Join Fairfax Radiology Centers and turn your analytical expertise into meaningful improvements that support our organization and the patients we serve.

Compensation
Based on your qualifications and experience, the compensation range for this position is:

$67,184 - $90,896 annual salary

Placement within the range is determined by factors including experience, education, certifications, and internal equity.
Apply today!

Equal Opportunity Employer
FRC is committed to diversity, equity, and inclusion. We provide equal employment opportunities to all employees and applicants regardless of race, color, age, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, disability, veteran status, genetic information, or any other protected characteristic.