Remote Payment Integrity Analyst Jobs in Raleigh, NC

Description

Provides strategic leadership and technical oversight for the Revenue Integrity Department.

Ensures accurate, complete, and timely charge capture and reconciliation, optimizes reimbursement, and safeguards compliance with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational teams.

Through innovative strategies and continuous process improvement, this position enhances revenue cycle performance and supports organizational financial health.

Leadership and Oversight: Supervise and mentor the Revenue Integrity teams, including nurse auditors, coders, analysts and specialists.

Monitor performance metrics and implement continuous improvement strategies.

Conduct performance evaluations and support professional development for direct reports.

Charge Capture and Systems Management: Oversee the development and execution of revenue integrity initiatives to optimize charge capture and reimbursement.

Manage EHR Revenue Cycle systems and other billing platforms to ensure accurate and timely charge capture.

Direct and support CDM maintenance and revenue integrity analytics, to include collaboration with managed care team and finance for pricing oversight.

Research, evaluate, and interpret regulatory and payor guidance to assess facility impact, ensuring compliance and maximizing revenue performance.

Monitor and evaluate billing and coding updates impacting CDM and Charge capture processes to ensure accurate claim submission, appropriate distribution of information, and identify opportunity areas for education.

Compliance and Audit: Ensure adherence to federal, state, and payor-specific regulations, lead internal audits and process reviews to identify revenue leakage and compliance risks.

Collaborate with clinical, financial, and operational stakeholders to ensure alignment and compliance with regulatory requirements.

Revenue Optimization: Develop, execute, and manage denial prevention and resolution strategies.

Provide actionable analytics and key performance indicators (KPI's) to executive leadership, driving alignment with financial objectives and identifying opportunities for improvement.

Stakeholder Collaboration: Engage and collaborate with clinical and ancillary leadership to drive charge capture excellence by monitoring KPIs, implementing process improvements, proactively managing denial and audit risks, and delivering targeted education that supports organizational revenue integrity.

Serve as a liaison for denials and avoidable write-off committee.

Policy and Documentation: Develop operational policies, procedures, and training documentation for the Revenue Integrity efforts with organizational priorities. Promote and emulate a patient-centric and customer service-oriented culture. Community Engagement: Represent the department in community and agency events as appropriate.

Skills

revenue integrity, medical code, medical billing & coding, medical billing software, epic, epic systems, hospital billing, denials management, reimbursement, managed care

Top Skills Details

revenue integrity,medical code,medical billing & coding,medical billing software,epic,epic systems

Additional Skills & Qualifications

BACHELORS DEGREE - No exceptions

Experience Level

Expert Level

This is a Permanent position based out of Raleigh, NC.

The pay range for this position is $86091.00 - $142064.00/yr.

Health & Wellness: Comprehensive medical plans with $0 copay/deductible options through the Rezilient with WakeMed concierge primary care program. Members also get access to the Healthworks Fitness Center for $30/month. Mental Health Support: The WakeMed LifeBalance Program provides employees and their household members up to 6 free coaching or therapy sessions via Lyra Health. Financial Well-being: A 403(b) retirement savings plan with employer matching, basic and supplemental life insurance, and short/long-term disability. Work-Life Perks: Preferred childcare tuition rates through partnerships with KinderCare, a confidential Employee Assistance Program (EAP), and discounts at local merchants. Education & Training: Tuition reimbursement, training programs, and professional development opportunities.

This is a fully remote position.

This position is anticipated to close on Jul 31, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.