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Remote Integrity Services Jobs in Tennessee (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding ...

Integrityfex

Client Services Representative

Knoxville, TN · Remote

$15.25 - $20.75/hr

Remote Opportunity** Integrity FEX is growing and seeking Client Services Representatives to help individuals and families explore life insurance options that meet their financial goals. We provide ...

InsuraTec

Sales Representative (Remote)

Alcoa, TN · Remote

InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Transparent & Inclusive : Commitment to integrity, transparency, and inclusivity in all ...

InsuraTec

Sales Representative (Remote)

Jackson, TN · Remote

InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Transparent & Inclusive : Commitment to integrity, transparency, and inclusivity in all ...

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Remote Integrity Services information

What is Remote Integrity Services?

Remote Integrity Services refer to solutions and processes designed to monitor, assess, and ensure compliance, honesty, and ethical practices within an organization or system from a remote location. These services may include fraud detection, risk assessments, compliance audits, and policy enforcement conducted virtually or offsite. They are commonly used in industries such as online gaming, finance, and corporate governance to maintain trust and prevent misconduct without the need for in-person oversight.

What are the key skills and qualifications needed to thrive in Remote Integrity Services?

To succeed in Remote Integrity Services, you need strong analytical abilities, attention to detail, and a background in compliance, audit, or risk management, often supported by a relevant degree or certification. Familiarity with data analysis tools, case management systems, and regulatory compliance platforms is typically required. Excellent communication, ethical judgment, and problem-solving skills set top performers apart in this role. These competencies are essential to accurately identify and address risks, maintain compliance, and ensure organizational integrity in a remote environment.

What are some of the unique challenges faced by professionals working in Remote Integrity Services, and how can they be effectively addressed?

Professionals in Remote Integrity Services often face challenges such as maintaining clear communication with clients and teammates across different time zones, ensuring data security while working with sensitive information remotely, and staying updated on evolving industry regulations. These can be effectively addressed by utilizing secure communication platforms, regularly attending virtual training sessions, and establishing consistent check-ins with the team. Building strong digital collaboration skills and proactively seeking feedback also help in overcoming these challenges and ensuring high standards of integrity in remote work environments.

What is the difference between Remote Integrity Services vs Remote Security Analysts?

AspectRemote Integrity ServicesRemote Security Analysts
CertificationsISO 27001, CISSP, CISACISSP, CompTIA Security+, CEH
Work EnvironmentRemote, client sites, data centersRemote, cybersecurity firms, IT departments
Industry UsageData integrity, compliance, auditCybersecurity, threat detection, incident response
Job FocusEnsuring data accuracy, compliance, and integrityMonitoring security threats, analyzing vulnerabilities

Remote Integrity Services professionals focus on maintaining data accuracy, compliance, and system integrity, often working with audits and data management. Remote Security Analysts concentrate on protecting systems from cyber threats, analyzing vulnerabilities, and responding to security incidents. While both roles require security-related certifications and often work remotely, their core responsibilities differ: integrity services emphasize data and compliance, whereas security analysts focus on cybersecurity defense.

What are popular job titles related to Remote Integrity Services jobs in Tennessee?

For Remote Integrity Services jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Integrity Services jobs in Tennessee look for?

The top searched job categories for Remote Integrity Services jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Integrity Services jobs?

Cities in Tennessee with the most Remote Integrity Services job openings:

Remote Integrity Services jobs near you

Revenue Integrity Analyst

Franklin, TN • Remote

Vertek Staffing
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Vertek Staffingexternal

Contractor

Re-posted 25 days ago

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.

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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

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