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Revenue Integrity Coding Jobs (NOW HIRING)

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Now Hiring - Coding Educator & Auditor Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At ...

Impact Advisors

OR · On-site

$91K - $210K/yr

... Revenue Integrity workflows ... Improve charge capture accuracy through workflow assessments, coordinating coding reviews, process ...

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Revenue Integrity Coding information

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$40K

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How much do revenue integrity coding jobs pay per year?

As of Jun 7, 2026, the average yearly pay for revenue integrity coding 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.

How does the Revenue Integrity Coding team typically collaborate with other departments within a healthcare organization?

Revenue Integrity Coding professionals often work closely with billing, compliance, and clinical teams to ensure accurate coding and optimal reimbursement. Communication with clinical staff is essential to clarify documentation and resolve discrepancies, while collaboration with billing and compliance helps prevent denials and mitigate audit risks. Regular meetings and cross-departmental training sessions are common, fostering a collaborative environment that supports both financial and regulatory goals.

What is the difference between Revenue Integrity Coding vs Medical Coding?

AspectRevenue Integrity CodingMedical Coding
CertificationsCPH, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHospitals, health systemsClinics, physician offices, hospitals
Employer & Industry UsageRevenue cycle management, complianceBilling, documentation, reimbursement

Revenue Integrity Coding focuses on ensuring accurate coding to optimize revenue and compliance, often involving audits and process improvements. Medical Coding involves assigning codes to diagnoses and procedures for billing and documentation. While both roles require similar certifications and work in healthcare settings, Revenue Integrity Coding emphasizes revenue optimization and compliance, whereas Medical Coding centers on accurate documentation for billing purposes.

What is Revenue Integrity Coding?

Revenue Integrity Coding refers to the process of ensuring that healthcare services are accurately coded and billed to maximize appropriate reimbursement while maintaining compliance with regulations. Professionals in this field review clinical documentation, apply correct medical codes, and help prevent billing errors or fraud. Their work is essential in bridging the gap between clinical care, billing, and compliance, ensuring that healthcare organizations receive proper payment for services rendered. They also play a key role in identifying areas where process improvements can increase efficiency and financial performance.

What are the key skills and qualifications needed to thrive as a Revenue Integrity Coding professional, and why are they important?

To thrive as a Revenue Integrity Coding professional, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and reimbursement methodologies, usually supported by a coding certification like CPC or CCS. Proficiency with hospital billing software, electronic health records (EHR) systems, and coding audit tools is essential. Strong analytical abilities, attention to detail, and effective communication skills help ensure accuracy and collaboration across teams. These skills are crucial for maximizing revenue, maintaining compliance, and minimizing financial risk for healthcare organizations.

Revenue Integrity Coding Billing Specialist (remote)

Guidehouse

New York, NY • Remote

$56K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Guidehouse rating

7.5

Company rating: 7.5 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

37th of 57 rated business consultants

Job description

Job Family:

General Coding


Travel Required:

None


Clearance Required:

None

This position is fully remote

What You Will Do:

  • Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote.

    Daily duties for this position include:

    • Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as:

    • Correct Coding Initiatives (CCI)

    • Medically Unlikely Edits (MUE)

    • Medical Necessity edits

    • Other claim level edits as assigned

    • As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.

    • Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX system.

    • Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information.

    • Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements.

    • Other duties commensurate with skills and experience as determined by the Director of Revenue Integrity.

    What You Will Need:

    • High School Diploma or equivalent

    • 5+ years of Revenue Integrity experience

    • AAPC or AHIMA coding certification.

    • Experience in ICD-10, CPT and HCPCS Level II Coding.

    • Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation.

    • Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims.

    • Proficiency in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)

    • Knowledge of current code bundling rules and regulations along with proficiency on issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's.

    • Knowledge and understanding of hospital charge description master coding systems and structures.

    • Strong verbal, written and interpersonal communication skills.

    • Ability to produce accurate, assigned work product within specified time frames.

    What Would Be Nice To Have:

    • 5 years' experience in Revenue Integrity Coding and Billing

    • Hospital medical billing and auditing experience

    • Associate's degree

    #IndeedSponsored

    #LI- Remote#LI-DNI

The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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