... Edits & Charge Capture | Remote | Contract Schedule: Monday - Friday | Full-Time Position Summary The Healthcare Revenue Integrity Analyst is responsible for reviewing, analyzing, and resolving ...
... Edits & Charge Capture | Remote | Contract Schedule: Monday - Friday | Full-Time Position Summary The Healthcare Revenue Integrity Analyst is responsible for reviewing, analyzing, and resolving ...
Physician Coder III, Remote
Chattanooga, TN · On-site +1
... charge review - Resolves payer denials and responds to inquiries from revenue cycle teams, and ... Must be able to work effectively in a remote work capacity. The associate must provide management ...
Physician Coder III, Remote
Chattanooga, TN · On-site +1
... charge review - Resolves payer denials and responds to inquiries from revenue cycle teams, and ... Must be able to work effectively in a remote work capacity. The associate must provide management ...
Professional/Physician Medical Coder SR - FT - BPS Primary Care Peerless
Cleveland, TN · Remote
$15.75 - $21/hr
The associate reviews assigned work daily, ensures timely charge review and claim creation, and ... The associate must practice excellent self-discipline and time management skills due to its remote ...
Professional/Physician Medical Coder SR - FT - BPS Primary Care Peerless
Cleveland, TN · Remote
$15.75 - $21/hr
The associate reviews assigned work daily, ensures timely charge review and claim creation, and ... The associate must practice excellent self-discipline and time management skills due to its remote ...
This is a remote opportunity for the right fit. OUR VISION & VALUES At Blue Cloud, it's our vision ... Review and coordinate daily workflows related to charge entry, claims follow-up, denial handling ...
This is a remote opportunity for the right fit. OUR VISION & VALUES At Blue Cloud, it's our vision ... Review and coordinate daily workflows related to charge entry, claims follow-up, denial handling ...
Outpatient Coder
Franklin, TN · Remote
Remote Required Qualifications: * Minimum 2 years of outpatient facility coding experience in an ... The coder will review clinical documentation and diagnostic results to ensure accurate code ...
Outpatient Coder
Franklin, TN · Remote
Remote Required Qualifications: * Minimum 2 years of outpatient facility coding experience in an ... The coder will review clinical documentation and diagnostic results to ensure accurate code ...
Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis ... charge verification processes and routing accounts based on missing, incomplete, or inaccurate ...
Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis ... charge verification processes and routing accounts based on missing, incomplete, or inaccurate ...
Licensed Remote Mental Health Counselor - Telehealth Specialist
Germantown, TN · Remote
$100K - $110K/yr
You will have the opportunity to participate in peer supervision and case reviews, which foster ... If you are a licensed mental health therapist looking to take charge of your career in a stable ...
New
Licensed Remote Mental Health Counselor - Telehealth Specialist
Germantown, TN · Remote
$100K - $110K/yr
You will have the opportunity to participate in peer supervision and case reviews, which foster ... If you are a licensed mental health therapist looking to take charge of your career in a stable ...
New
Profee Coder Multi Specialty
Franklin, TN · Remote
$18 - $24/hr
Senior Professional Fee Coder (ProFee) - Remote | Required Qualifications: * Minimum 2 years of ... The coder will review clinical documentation to ensure complete, compliant, and accurate code ...
Profee Coder Multi Specialty
Franklin, TN · Remote
$18 - $24/hr
Senior Professional Fee Coder (ProFee) - Remote | Required Qualifications: * Minimum 2 years of ... The coder will review clinical documentation to ensure complete, compliant, and accurate code ...
Licensed Clinical Social Worker - Remote Opportunities at Community Health Clinic
Milan, TN · Remote
$80K - $100K/yr
Engage in case consultations and participate in weekly peer review meetings to foster professional ... take charge of their own mental health journey. * Stay current with the latest research and ...
Licensed Clinical Social Worker - Remote Opportunities at Community Health Clinic
Milan, TN · Remote
$80K - $100K/yr
Engage in case consultations and participate in weekly peer review meetings to foster professional ... take charge of their own mental health journey. * Stay current with the latest research and ...
Revenue Cycle Management Supervisor (post-acute)
Brentwood, TN · On-site +1
$22 - $25/hr
Flexible Hybrid work schedule: onsite at company's support center and/or remote (work from home ... charge entry, billing, accounts receivable, and collections • Ensure accurate and timely ...
Revenue Cycle Management Supervisor (post-acute)
Brentwood, TN · On-site +1
$22 - $25/hr
Flexible Hybrid work schedule: onsite at company's support center and/or remote (work from home ... charge entry, billing, accounts receivable, and collections • Ensure accurate and timely ...
Regularly review and adapt treatment strategies in response to clients' progress and evolving ... Advocate for clients' rights, empowering them to take charge of their treatment decisions while ...
New
Regularly review and adapt treatment strategies in response to clients' progress and evolving ... Advocate for clients' rights, empowering them to take charge of their treatment decisions while ...
New
Ensures second-level coding reviews, quality audits, and charge reconciliation are performed for ... OTHER: Remote position. Employees must maintain a secure work environment that protects ...
Ensures second-level coding reviews, quality audits, and charge reconciliation are performed for ... OTHER: Remote position. Employees must maintain a secure work environment that protects ...
Ensures second-level coding reviews, quality audits, and charge reconciliation are performed for ... OTHER: Remote position. Employees must maintain a secure work environment that protects ...
Quick apply
Ensures second-level coding reviews, quality audits, and charge reconciliation are performed for ... OTHER: Remote position. Employees must maintain a secure work environment that protects ...
Senior Bookkeeper
Memphis, TN · On-site +1
$55K - $65K/yr
Senior Bookkeeper (Full-Charge Bookkeeper) Salary: $55K - $65K; Location: Memphis, TN (Hybrid) At ... Prepare and review sales tax, business tax, franchise & excise tax, and property tax returns
Senior Bookkeeper
Memphis, TN · On-site +1
$55K - $65K/yr
Senior Bookkeeper (Full-Charge Bookkeeper) Salary: $55K - $65K; Location: Memphis, TN (Hybrid) At ... Prepare and review sales tax, business tax, franchise & excise tax, and property tax returns
Participate in regular case consultations and peer review meetings to foster a culture of shared ... charge of their well-being. * Stay current with the latest research and developments in the field ...
Participate in regular case consultations and peer review meetings to foster a culture of shared ... charge of their well-being. * Stay current with the latest research and developments in the field ...
... and operational reviews. * Provides subject matter expertise and education to internal teams ... trends, charge strategies, fair market rates for new services, and ad hoc reporting needs.
... and operational reviews. * Provides subject matter expertise and education to internal teams ... trends, charge strategies, fair market rates for new services, and ad hoc reporting needs.
Manager of Managed Care Operations - Hybrid / Remote
Brentwood, TN · On-site +1
$84K - $112K/yr
... and operational reviews. * Provides subject matter expertise and education to internal teams ... trends, charge strategies, fair market rates for new services, and ad hoc reporting needs.
Manager of Managed Care Operations - Hybrid / Remote
Brentwood, TN · On-site +1
$84K - $112K/yr
... and operational reviews. * Provides subject matter expertise and education to internal teams ... trends, charge strategies, fair market rates for new services, and ad hoc reporting needs.
Personal Injury Litigation Paralegal- REMOTE/WFH
Nashville, TN · On-site +1
$58K - $74K/yr
And we want you helping lead that charge. We're hiring an experienced Litigation Paralegal for a ... just at review time $10,000 sign on bonus (paid incrementally) Full benefits package ...
Personal Injury Litigation Paralegal- REMOTE/WFH
Nashville, TN · On-site +1
$58K - $74K/yr
And we want you helping lead that charge. We're hiring an experienced Litigation Paralegal for a ... just at review time $10,000 sign on bonus (paid incrementally) Full benefits package ...
Personal Injury Litigation Paralegal- REMOTE/WFH
Nashville, TN · Remote
$58K - $74K/yr
And we want you helping lead that charge. We're hiring an experienced Litigation Paralegal for a ... just at review time $10,000 sign on bonus (paid incrementally) Full benefits package ...
Personal Injury Litigation Paralegal- REMOTE/WFH
Nashville, TN · Remote
$58K - $74K/yr
And we want you helping lead that charge. We're hiring an experienced Litigation Paralegal for a ... just at review time $10,000 sign on bonus (paid incrementally) Full benefits package ...
COMPLIANCE AUDITOR
Knoxville, TN · On-site +1
Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... Reviews and studies all information published by the federal government, fraud alerts, legal ...
COMPLIANCE AUDITOR
Knoxville, TN · On-site +1
Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... Reviews and studies all information published by the federal government, fraud alerts, legal ...
Remote Charge Review information
What is the difference between Remote Charge Review vs Remote Billing Specialist?
| Aspect | Remote Charge Review | Remote Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of billing codes and financial review experience | Requires understanding of billing procedures, insurance, and payment processing |
| Work Environment | Focuses on reviewing charges for accuracy, often in healthcare or financial sectors | Handles invoicing, payment processing, and billing communication with clients or insurers |
| Industry Usage | Common in healthcare, finance, and insurance industries | Widely used in healthcare, legal, and service industries |
Remote Charge Review specialists primarily verify billing accuracy and ensure compliance, while Remote Billing Specialists manage invoicing and payment processes. Both roles require knowledge of billing systems but differ in focus and daily tasks.
What are popular job titles related to Remote Charge Review jobs in Tennessee?
For Remote Charge Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Charge Review jobs in Tennessee look for?
The top searched job categories for Remote Charge Review jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Charge Review jobs?
Cities in Tennessee with the most Remote Charge Review 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