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Remote Process Improvement Jobs in Tennessee (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... and process improvement initiatives. * Develop recommendations to improve clean claim rates and ...

Vertek Staffing

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 ...

AmSurg LLC

Talent Acquisition Specialist

Nashville, TN · Remote

Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...

AmSurg LLC

Talent Acquisition Specialist

Nashville, TN · Remote

Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...

Amsurg

Talent Acquisition Specialist

Nashville, TN · Remote

Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...

AMSURG

Talent Acquisition Specialist

Nashville, TN · Remote

Talent Acquisition Specialist Remote (Nashville Based Candidates Preferred) Company Overview AMSURG ... This position plays a key role in employer branding, recruitment marketing, process improvement ...

QHC ARM Shared Services

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Provides direct support to Coding Management, including process improvement, denials, special ...

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Provides direct support to Coding Management, including process improvement, denials, special ...

QHC ARM Shared Services

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Provides direct support to Coding Management, including process improvement, denials, special ...

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Provides direct support to Coding Management, including process improvement, denials, special ...

Koniag, Inc.

Data Scientist (Remote)

Nashville, TN · On-site +1

Design and implement natural language processing (NLP) and text analytics solutions that analyze ... improvement opportunities. * Develop and maintain predictive analytics models that leverage ...

kgs

Data Scientist (Remote)

Nashville, TN · Remote

Design and implement natural language processing (NLP) and text analytics solutions that analyze ... improvement opportunities. * Develop and maintain predictive analytics models that leverage ...

kgs

Data Scientist (Remote)

Nashville, TN · Remote

Design and implement natural language processing (NLP) and text analytics solutions that analyze ... improvement opportunities. * Develop and maintain predictive analytics models that leverage ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday, standard business ... Ensure Compliance and Process Improvement - Stay up to date with evolving payer policies and ...

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Showing results 21-40

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Remote Process Improvement information

What is a remote process improvement specialist?

A remote process improvement specialist works in a company or organization to help them improve efficiency and productivity. You work from home to help a client plan improvements or perform an analysis of their production method. A continuous improvement specialist, a related work from home position, continually seeks ways to improve productivity and efficiency through process changes, organizational improvements, or professional development. Your duties and responsibilities vary depending on the industry. A process improvement specialist in manufacturing focuses on production methods, while those in IT or business concentrate on operations, team building, skills acquisition, and time management.

What are the key skills and qualifications needed to thrive as a remote process improvement specialist, and why are they important?

To thrive as a Remote Process Improvement Specialist, you need expertise in process analysis, project management, and data-driven decision-making, often supported by a degree in business or engineering and certifications like Lean Six Sigma. Familiarity with process mapping tools, workflow automation software, and collaboration platforms such as Microsoft Visio, Jira, or Trello is typically required. Exceptional problem-solving, communication, and facilitation skills help drive change and foster team engagement in a virtual environment. These abilities are crucial for identifying inefficiencies, implementing sustainable improvements, and achieving organizational goals remotely.

What is the difference between Remote Process Improvement vs Remote Business Analyst?

AspectRemote Process ImprovementRemote Business Analyst
Primary FocusOptimizing and streamlining processesAnalyzing business needs and requirements
Skills & CertificationsProcess mapping, Six Sigma, Lean methodologiesData analysis, requirements gathering, stakeholder communication
Work EnvironmentCollaborates with operations and process teamsWorks with business units and IT teams
Industry UsageManufacturing, healthcare, financeFinance, technology, consulting

Remote Process Improvement specialists focus on enhancing operational efficiency through process analysis and methodologies like Lean or Six Sigma. Remote Business Analysts analyze business needs, gather requirements, and facilitate solutions. While both roles require analytical skills, Process Improvement emphasizes process optimization, whereas Business Analysts focus on understanding and translating business needs into technical solutions.

How does a remote process improvement professional typically collaborate with cross-functional teams to implement changes?

Remote Process Improvement professionals usually work closely with various departments such as operations, IT, and quality assurance. Collaboration is often facilitated through virtual meetings, shared project management tools, and regular progress updates. Building strong communication channels and fostering trust remotely is key, as successful process improvements require buy-in from multiple stakeholders. These professionals often lead virtual workshops, gather feedback, and ensure that changes are effectively communicated and adopted across the organization.
More about Remote Process Improvement jobs
What are the most commonly searched types of Process Improvement jobs in Tennessee? The most popular types of Process Improvement jobs in Tennessee are:
What are popular job titles related to Remote Process Improvement jobs in Tennessee? For Remote Process Improvement jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Process Improvement jobs in Tennessee look for? The top searched job categories for Remote Process Improvement jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Process Improvement jobs? Cities in Tennessee with the most Remote Process Improvement job openings:
Remote Process Improvement jobs near you
Infographic showing various Remote Process Improvement job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution.

Revenue Integrity Analyst

Vertek Staffing

Franklin, TN • Remote

Contractor

Re-posted 8 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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