Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding ...
Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding ...
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Senior Meditech HIM Analyst - Remote
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Analyze, document, and support HIM workflows to ensure efficient and compliant management of ... and data integrity. * Lead requirements gathering, solution design, testing, training ...
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As a Payment Integrity Data Analyst, you will be responsible for building and documenting targeted algorithms, conducting analyses of health care membership and cost data, and assuring data quality.
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... data integrity, reporting accuracy, regulatory compliance, efficient workflows, and a high-quality ... The analyst develops process documentation, testing criteria, project plans, and provides ongoing ...
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Sr Data Analyst, Customer Insights
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You will collaborate across technology and marketing teams to ensure data integrity and ... Remote Why Choose Us? A career with the Rentokil family of companies can be a professional ...
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... optimization to ensure data integrity, reporting accuracy, regulatory compliance, efficient ... The analyst develops process documentation, testing criteria, project plans, and provides ongoing ...
... optimization to ensure data integrity, reporting accuracy, regulatory compliance, efficient ... The analyst develops process documentation, testing criteria, project plans, and provides ongoing ...
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Workday Systems Functional Analyst (Finance/Supply Chain) - Full Time - Remote
Chattanooga, TN · On-site +1
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Senior Analyst, Edits | Payment Integrity (Remote) Category: Analytics and Emerging Digital ... Use claim data analysis to pinpoint high-impact edit opportunities. Translate Policy: Convert ...
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New
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New
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Senior Physician Compensation Analyst - Nashville Hybrid / Remote Surrounding Areas
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... system data integrity and alignment with source systems including EHR, practice management, and financial systems. • Identify opportunities to improve automation, scalability, and reporting ...
Senior Physician Compensation Analyst - Nashville Hybrid / Remote Surrounding Areas
Brentwood, TN · On-site +1
$78K - $102K/yr
... system data integrity and alignment with source systems including EHR, practice management, and financial systems. • Identify opportunities to improve automation, scalability, and reporting ...
New
Senior Physician Compensation Analyst - Nashville Hybrid / Remote Surrounding Areas
Brentwood, TN · On-site +1
$78K - $102K/yr
... system data integrity and alignment with source systems including EHR, practice management, and financial systems. • Identify opportunities to improve automation, scalability, and reporting ...
New
Partners with Coding, CDI, HIM, Patient Financial Services, Finance, clinical departments ... tools, and data analytics or audit software. * Other: * Remote corporate position. * The ideal ...
Partners with Coding, CDI, HIM, Patient Financial Services, Finance, clinical departments ... tools, and data analytics or audit software. * Other: * Remote corporate position. * The ideal ...
The HRIS Analyst ensures data integrity, enhances system functionality, and drives continuous improvement across HR technology platforms. Key Responsibilities: HRIS Administration & Workday Expertise:
The HRIS Analyst ensures data integrity, enhances system functionality, and drives continuous improvement across HR technology platforms. Key Responsibilities: HRIS Administration & Workday Expertise:
Senior Data Analyst
Brentwood, TN · Remote
$81K - $102K/yr
Senior Data Analyst Position Details: Employment Type: Full Time Location ... Remote Reports to: AVP of RCM Analytics You must reside in one of these states to be eligible for ...
Quick apply
Senior Data Analyst
Brentwood, TN · Remote
$81K - $102K/yr
Senior Data Analyst Position Details: Employment Type: Full Time Location ... Remote Reports to: AVP of RCM Analytics You must reside in one of these states to be eligible for ...
Remote Him Data Integrity Analyst information
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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