Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday - Friday | Full-Time Position Summary The Healthcare Revenue Integrity Analyst is responsible for ...
Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday - Friday | Full-Time Position Summary The Healthcare Revenue Integrity Analyst is responsible for ...
Cerner Revenue Integrity Analyst Qualifications: Preferred Education: Bachelor's degree in business, healthcare or related fieldpreferred. Required Experience: Three (3) to five (5) years of Revenue ...
Cerner Revenue Integrity Analyst Qualifications: Preferred Education: Bachelor's degree in business, healthcare or related fieldpreferred. Required Experience: Three (3) to five (5) years of Revenue ...
Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
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Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
Revenue Integrity Specialist
Memphis, TN · On-site
Proficiency with advanced billing software and data analysis tools. * Demonstrated ability to ... and timely revenue collection. Strong communication skills are essential for effectively ...
Revenue Integrity Specialist
Memphis, TN · On-site
Proficiency with advanced billing software and data analysis tools. * Demonstrated ability to ... and timely revenue collection. Strong communication skills are essential for effectively ...
Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
Director of Case Management and Revenue Integrity Position Details: Employment Type: Full Time ... Leads analysis and escalation of complex discharge barriers, avoidable delays, readmissions, care ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Identify, assess, and solve complex business integration challenges where analysis of situations or ... Bachelor's degree * 5+ years of revenue integrity leadership experience with Hospitals or large ...
Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual ... The Revenue Cycle Applications Analyst III works independently and relies on experience and ...
Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual ... The Revenue Cycle Applications Analyst III works independently and relies on experience and ...
Managed Services - Revenue Integrity/CDI/HIM - Director
Nashville, TN · On-site
$155K - $410K/yr
... Revenue Integrity/CDI/HIM - Director, you will specialize in enhancing the efficiency and ... You will analyze client needs, develop financial solutions, and offer guidance to help clients ...
Managed Services - Revenue Integrity/CDI/HIM - Director
Nashville, TN · On-site
$155K - $410K/yr
... Revenue Integrity/CDI/HIM - Director, you will specialize in enhancing the efficiency and ... You will analyze client needs, develop financial solutions, and offer guidance to help clients ...
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
New
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
New
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ... Lead variance analysis and corrective action planning with executive leadership and operational ...
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations. * Analyze denials and coordinates insurance appeals. * Recognizes ...
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations. * Analyze denials and coordinates insurance appeals. * Recognizes ...
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations. Responsibilities * Analyze denials and coordinates insurance appeals.
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations. Responsibilities * Analyze denials and coordinates insurance appeals.
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
This role is accountable for the measurement and analytics of vendor performance to ensure service ... Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash ...
Associate Director / Director - Revenue Cycle Management (RCM)
Memphis, TN · On-site
$100 - $140/hr
... analytics, and automated workflows to improve cash flow, patient outcomes, and enable peace of mind ... Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment ...
Associate Director / Director - Revenue Cycle Management (RCM)
Memphis, TN · On-site
$100 - $140/hr
... analytics, and automated workflows to improve cash flow, patient outcomes, and enable peace of mind ... Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment ...
Revenue Integrity Analyst information
See Tennessee salary details
$26.8K - $34.9K
3% of jobs
$34.9K - $42.9K
7% of jobs
$42.9K - $51K
10% of jobs
$53.8K is the 25th percentile. Wages below this are outliers.
$51K - $59.1K
14% of jobs
The median wage is $66.3K / yr.
$59.1K - $67.2K
18% of jobs
$67.2K - $75.3K
22% of jobs
$75.7K is the 75th percentile. Wages above this are outliers.
$75.3K - $83.4K
12% of jobs
$83.4K - $91.5K
7% of jobs
$91.5K - $99.5K
2% of jobs
$99.5K - $107.6K
2% of jobs
$107.6K - $115.7K
2% of jobs
$26.8K
$69.2K
$115.7K
How much do revenue integrity analyst jobs pay per year?
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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