Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... and process improvement initiatives. * Develop recommendations to improve clean claim rates and ...
Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... and process improvement initiatives. * Develop recommendations to improve clean claim rates and ...
COMPLIANCE AUDITOR
Knoxville, TN · On-site +1
... directed by the Audit Workflow Process and Policy. * Assists with special projects as requested by ... Works toward achieving goals and objectives, and participates in quality improvement initiatives as ...
COMPLIANCE AUDITOR
Knoxville, TN · On-site +1
... directed by the Audit Workflow Process and Policy. * Assists with special projects as requested by ... Works toward achieving goals and objectives, and participates in quality improvement initiatives as ...
COMPLIANCE AUDITOR
Knoxville, TN · Remote
... directed by the Audit Workflow Process and Policy. * Assists with special projects as requested by ... Works toward achieving goals and objectives, and participates in quality improvement initiatives as ...
COMPLIANCE AUDITOR
Knoxville, TN · Remote
... directed by the Audit Workflow Process and Policy. * Assists with special projects as requested by ... Works toward achieving goals and objectives, and participates in quality improvement initiatives as ...
Director of Sales
Memphis, TN · On-site +1
Improving sales processes and accountability * Strengthening collaboration between Sales, Marketing ... Integrity, honesty, respect, loyalty, and continuous improvement are not slogans here, they are ...
Director of Sales
Memphis, TN · On-site +1
Improving sales processes and accountability * Strengthening collaboration between Sales, Marketing ... Integrity, honesty, respect, loyalty, and continuous improvement are not slogans here, they are ...
... Process) opportunity for a hybrid/remote work arrangement. Position Summary: We are seeking an ... Direct experience in nuclear facility operations, radiological controls, or chemical plant ...
... Process) opportunity for a hybrid/remote work arrangement. Position Summary: We are seeking an ... Direct experience in nuclear facility operations, radiological controls, or chemical plant ...
Lead cross-functional projects, process improvement initiatives, and departmental programs that ... direct authority. * Demonstrated project management skills with the ability to manage multiple ...
Lead cross-functional projects, process improvement initiatives, and departmental programs that ... direct authority. * Demonstrated project management skills with the ability to manage multiple ...
Financial Manager (PCC Operations) - REMOTE
Nashville, TN · Remote
$101K - $133K/yr
Participates in process improvement reviews of a variety of financial systems. * Analyzes and reports on the effects of proposed federal and state statutes and regulatory actions which may impact ...
New
Financial Manager (PCC Operations) - REMOTE
Nashville, TN · Remote
$101K - $133K/yr
Participates in process improvement reviews of a variety of financial systems. * Analyzes and reports on the effects of proposed federal and state statutes and regulatory actions which may impact ...
New
Facilitates necessary onsite or remote business reviews with key operational stakeholders ... Provides support in all vendor implementations and process improvement efforts. Qualifications ...
Facilitates necessary onsite or remote business reviews with key operational stakeholders ... Provides support in all vendor implementations and process improvement efforts. Qualifications ...
CDI Specialist
Franklin, TN · Remote
$33.50 - $45/hr
CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... Monitor documentation trends and identify opportunities for process improvement. * Participate in ...
CDI Specialist
Franklin, TN · Remote
$33.50 - $45/hr
CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... Monitor documentation trends and identify opportunities for process improvement. * Participate in ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Quick apply
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Quick apply
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Senior Finance AI & Automation Developer
Ooltewah, TN · On-site +1
$95K - $119K/yr
Remote * Tuesday-Thursday: Onsite at our Reading, PA location Candidates outside the Reading, PA ... This role sits at the intersection of Finance, Technology, and Process Improvement and focuses on ...
Senior Finance AI & Automation Developer
Ooltewah, TN · On-site +1
$95K - $119K/yr
Remote * Tuesday-Thursday: Onsite at our Reading, PA location Candidates outside the Reading, PA ... This role sits at the intersection of Finance, Technology, and Process Improvement and focuses on ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...
Director - Project Controls & Pre-Construction
Knoxville, TN · On-site +1
$161K - $233K/yr
Support bidding and proposal processes, including RFP responses, bid leveling, and pricing ... Standardization & Continuous Improvement * Standardize estimating templates, scheduling approaches ...
Director - Project Controls & Pre-Construction
Knoxville, TN · On-site +1
$161K - $233K/yr
Support bidding and proposal processes, including RFP responses, bid leveling, and pricing ... Standardization & Continuous Improvement * Standardize estimating templates, scheduling approaches ...
HR Director, Learning Solutions
Nashville, TN · On-site +1
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
HR Director, Learning Solutions
Nashville, TN · On-site +1
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
... improvement of enterprise learning experiences and learning technology ecosystems. This role is ... Remote Role Accountabilities: Learning Solutions Strategy & Design * Develop and execute the ...
Anatomic Pathology Product Specialist
Memphis, TN · On-site +1
$159/hr
Direct experience with Agilentpathologyplatforms, including Dako Omnis,AutostainerLink 48, Artisan ... Knowledge of Lean, Six Sigma, or other laboratory process improvement methodologies. * Strong ...
Anatomic Pathology Product Specialist
Memphis, TN · On-site +1
$159/hr
Direct experience with Agilentpathologyplatforms, including Dako Omnis,AutostainerLink 48, Artisan ... Knowledge of Lean, Six Sigma, or other laboratory process improvement methodologies. * Strong ...
Corporate Counsel (Director) - Remote
Nashville, TN · Remote
$175K - $225K/yr
Support the annual proxy process , including drafting and coordination * Assist with compliance ... Direct experience with SEC reporting and public company compliance required * Familiarity with ...
Corporate Counsel (Director) - Remote
Nashville, TN · Remote
$175K - $225K/yr
Support the annual proxy process , including drafting and coordination * Assist with compliance ... Direct experience with SEC reporting and public company compliance required * Familiarity with ...
Director Process Improvement Remote information
What is the difference between Director Process Improvement Remote vs Process Improvement Specialist?
| Aspect | Director Process Improvement Remote | Process Improvement Specialist |
|---|---|---|
| Credentials | Bachelor's/Master's in Business, Engineering, or related; certifications like Lean, Six Sigma | Similar certifications; often entry to mid-level roles |
| Work Environment | Remote leadership role overseeing multiple projects | Remote or on-site, focused on specific process tasks |
| Employer & Industry | Manufacturing, healthcare, finance, tech companies | Same industries, often supporting teams under directors |
| Search & Comparison Intent | High-level process improvement management | Operational support and process analysis |
The main difference is that the Director Process Improvement Remote holds a leadership role overseeing multiple projects and strategic initiatives, while the Process Improvement Specialist focuses on executing specific process improvements. Both roles require similar certifications and can be remote, but the director typically manages teams and sets priorities, whereas the specialist supports those efforts at a more operational level.
What are popular job titles related to Director Process Improvement Remote jobs in Tennessee?
For Director Process Improvement Remote jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Director Process Improvement Remote jobs in Tennessee look for?
The top searched job categories for Director Process Improvement Remote jobs in Tennessee are:
What cities in Tennessee are hiring for Director Process Improvement Remote jobs?
Cities in Tennessee with the most Director Process Improvement Remote job openings:
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