The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding, Clinical Departments, CDI, and Information Technology teams to support compliant billing practices and ...
The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding, Clinical Departments, CDI, and Information Technology teams to support compliant billing practices and ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Revenue Integrity Analyst
Mattoon, IL · On-site
$54K - $84K/yr
... HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and ... Conducts audits, analyzes claim data, reviews charge capture, and investigates variances. Conducts ...
Revenue Integrity Analyst
Mattoon, IL · On-site
$54K - $84K/yr
... HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and ... Conducts audits, analyzes claim data, reviews charge capture, and investigates variances. Conducts ...
CDCE Data Analyst
Atlanta, GA · On-site
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
CDCE Data Analyst
Atlanta, GA · On-site
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
HIM Data Coordinator
Melville, NY · On-site
$26 - $30/hr
Job Details The HIM Data Coordinator is responsible for EMPI integrity/Chart Correction, Insurance ... Prepares Medical Records for insurance audits that require specific data analysis and review prior ...
HIM Data Coordinator
Melville, NY · On-site
$26 - $30/hr
Job Details The HIM Data Coordinator is responsible for EMPI integrity/Chart Correction, Insurance ... Prepares Medical Records for insurance audits that require specific data analysis and review prior ...
CDCE Data Analyst
Atlanta, GA · On-site
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
CDCE Data Analyst
Atlanta, GA · On-site
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
Data Integrity and Quality Control Analyst
Sacramento, CA · On-site
$6.0K - $7.5K/mo
Data Integrity and Quality Control Analyst Classification: ANALYST II $6,031.00 - $7,547.00 A New to State candidates will be hired into the minimum salary of the classification or minimum of ...
$54K - $84K/yr
... HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and ... Conducts audits, analyzes claim data, reviews charge capture, and investigates variances. Conducts ...
$54K - $84K/yr
... HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and ... Conducts audits, analyzes claim data, reviews charge capture, and investigates variances. Conducts ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... About Integrity Integrity is one of the nation's leading independent distributors of life, health ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... About Integrity Integrity is one of the nation's leading independent distributors of life, health ...
Ensures adherence to HIPAA, Joint Commission, and regulatory standards while supporting audits and ... Collaborates with Data integrity analyst and makes chart correction request after troubleshooting ...
Ensures adherence to HIPAA, Joint Commission, and regulatory standards while supporting audits and ... Collaborates with Data integrity analyst and makes chart correction request after troubleshooting ...
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
CDCE Data Analyst
Atlanta, GA · On-site
$52.37 - $65.06/hr
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
CDCE Data Analyst
Atlanta, GA · On-site
$52.37 - $65.06/hr
Validate data accuracy and ensure integrity of datasets * Analyze structured and unstructured data ... Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a ...
DBHDS - Data Analyst 4 Location: 1220 Bank Street Richmond Virginia - Remote 100% Remote role but ... The consultant will work with HIM, data governance, and clinical operations teams to define the ...
DBHDS - Data Analyst 4 Location: 1220 Bank Street Richmond Virginia - Remote 100% Remote role but ... The consultant will work with HIM, data governance, and clinical operations teams to define the ...
We are searching for a Provider Data Integrity Analyst -- someone who works well in a fast-paced setting. In this position, you will be responsible for the monthly audits and reconciliation of all ...
We are searching for a Provider Data Integrity Analyst -- someone who works well in a fast-paced setting. In this position, you will be responsible for the monthly audits and reconciliation of all ...
Data Quality Analyst
Newark, DE · On-site
$87K - $138K/yr
This job is eligible for bonus and/or commissions. Benefits and Perks At City National, we strive ... integrity, community and unparalleled client relationships continues today. City National is a ...
Data Quality Analyst
Newark, DE · On-site
$87K - $138K/yr
This job is eligible for bonus and/or commissions. Benefits and Perks At City National, we strive ... integrity, community and unparalleled client relationships continues today. City National is a ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity ...
Aggregates and performs statistical analysis on business data based on requests from project teams ... Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity ...
Commission Him Data Integrity Analyst information
See salary details
$11.06 - $15.73
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$15.73 - $20.41
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The median wage is $35.67 / hr.
$34.44 - $39.12
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How much do commission him data integrity analyst jobs pay per hour?
Job description
Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract
Schedule: Monday - Friday | Full-Time
Position Summary
The Healthcare Revenue Integrity Analyst is responsible for reviewing, analyzing, and resolving billing edits, charge review exceptions, and revenue cycle discrepancies to ensure accurate reimbursement and regulatory compliance. This role serves as a key resource in identifying revenue leakage opportunities, improving charge capture processes, reducing denials, and optimizing revenue cycle performance.
The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding, Clinical Departments, CDI, and Information Technology teams to support compliant billing practices and maximize reimbursement.
Required Qualifications
- Minimum 3 years of Revenue Integrity, Revenue Cycle, Billing, Coding, or Charge Capture experience within a hospital or health system.
- Experience working claim edit workqueues and billing edits.
- Knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies.
- Experience researching and resolving charging, coding, and billing discrepancies.
- Understanding of NCCI edits, medical necessity edits, modifier usage, and reimbursement guidelines.
- Experience with Epic Resolute, Epic Revenue Integrity, Cerner, Meditech, or similar hospital billing systems.
- Strong analytical and problem-solving skills.
Preferred Certifications
One or more of the following certifications is preferred:
- CPMA (Certified Professional Medical Auditor)
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CCS (Certified Coding Specialist)
- CRCR (Certified Revenue Cycle Representative)
- RHIT (Registered Health Information Technician)
- RHIA (Registered Health Information Administrator)
Primary Responsibilities
- Review and resolve claim edits and billing exceptions.
- Analyze charging and reimbursement issues impacting revenue cycle performance.
- Identify trends related to denials, underpayments, and revenue leakage.
- Collaborate with Coding, CDI, Revenue Cycle, Clinical Departments, and Patient Financial Services to resolve reimbursement issues.
- Validate compliance with payer regulations, CMS guidelines, and organizational policies.
- Support charge capture improvement initiatives and CDM maintenance activities.
- Perform root cause analysis on recurring billing and reimbursement issues.
- Assist with revenue cycle audits and process improvement initiatives.
- Develop recommendations to improve clean claim rates and reduce denials.
- Monitor and report key revenue integrity performance metrics.
Preferred Background
Candidates with experience in Revenue Integrity, Charge Capture, Revenue Cycle Analytics, Denials Management, Patient Financial Services, Hospital Billing, or HIM Operations are strongly encouraged to apply.
About Vertek Solutions
Sourced by ZipRecruiter
Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Franklin, TN, US
Year founded
2006