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Revenue Integrity Claim Jobs (NOW HIRING)

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... Experience working claim edit workqueues and billing edits. * Knowledge of Medicare, Medicaid, and ...

Claim edits * Reimbursement outcomes * Payment optimization Demonstrated experience with ... Revenue integrity best practices Strong technology fluency with experience using: * EHR charge ...

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Claim edits * Reimbursement outcomes * Payment optimization • Demonstrated experience with ... Revenue integrity best practices • Strong technology fluency with experience using: * EHR charge ...

Revenue Integrity Specialist

Reno, NV · On-site

$82K - $82K/yr

The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational ...

Claim edits * Reimbursement outcomes * Payment optimization • Demonstrated experience with ... Revenue integrity best practices • Strong technology fluency with experience using: * EHR charge ...

Revenue Integrity Specialist

Reno, NV · On-site

$82K - $82K/yr

The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational ...

Revenue Integrity Specialist

Reno, NV · On-site

$25.66 - $35.92/hr

The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational ...

$250/hr

This role involves practice pattern monitoring, claim scrubbing and payor audit management. The Revenue Integrity Coding Specialist will support revenue cycle with post-payment audits, pre-payment ...

Resolve claim errors, edits, and other holds * Works with clinical and ancillary operational ... Experience in revenue integrity operations, clinical charge capture, charge master, or revenue ...

This role involves practice pattern monitoring, claim scrubbing and payor audit management. The Revenue Integrity Coding Specialist will support revenue cycle with post-payment audits, pre-payment ...

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Revenue Integrity Claim information

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$40K

$83.4K

$134K

How much do revenue integrity claim jobs pay per year?

As of Sep 8, 2026, the average yearly pay for revenue integrity claim in the United States is $83,447.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $97,000.00 per year, depending on experience, location, and employer.

What are popular job titles related to Revenue Integrity Claim jobs?

For Revenue Integrity Claim jobs, the most frequently searched job titles are:

Infographic showing various Revenue Integrity Claim job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $83,447 per year, or $40.1 per hour.

Revenue Integrity Analyst

Franklin, TN • Remote

Vertek Staffing
Recruiting and Staffing Services • 11 - 50 employees

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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