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Revenue Integrity Coding Analyst Jobs in Tennessee

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Revenue Integrity Coding Analyst information

What kind of jobs in media bring in $150,000 a year?

In media, high-paying roles such as senior media planners, media directors, or advertising executives can earn $150,000 or more annually. These positions typically require extensive experience, strong negotiation skills, and proficiency with industry tools like media planning software.

What is a revenue integrity coder?

A revenue integrity coder is a professional responsible for reviewing and coding healthcare claims to ensure accurate billing and compliance with regulations. They analyze medical records, assign appropriate codes, and work to prevent revenue loss due to errors or discrepancies, often using coding systems like ICD-10 and CPT. Strong attention to detail and knowledge of healthcare billing are essential for this role.

What does a revenue integrity analyst do?

A revenue integrity analyst reviews and audits healthcare billing and coding to ensure accurate revenue capture and compliance with regulations. They analyze data, identify discrepancies, and implement process improvements using coding systems and revenue cycle management tools to optimize financial performance.

How much does a RCM specialist make in the US?

A Revenue Cycle Management (RCM) specialist typically earns between $45,000 and $65,000 annually in the US, depending on experience, location, and certifications. Salaries can vary based on the complexity of coding tasks, healthcare setting, and additional skills such as familiarity with coding software or billing systems.

What is a Revenue Integrity Coding Analyst?

A Revenue Integrity Coding Analyst is a healthcare professional responsible for ensuring that medical coding and billing practices comply with regulations and maximize appropriate revenue for healthcare organizations. They review clinical documentation, coding, and billing data to identify discrepancies or errors that could impact reimbursement. Their role often involves analyzing trends, implementing process improvements, and working closely with clinical and billing staff to ensure accurate and compliant revenue cycle management. By doing so, they help prevent revenue loss and minimize the risk of audits or penalties.

What is the difference between Revenue Integrity Coding Analyst vs Revenue Cycle Specialist?

AspectRevenue Integrity Coding AnalystRevenue Cycle Specialist
CertificationsCPH, CCS, CPCCPH, CPC, RHIT
Work EnvironmentHospital, outpatient, billing departmentsHospital, billing, insurance
Primary FocusEnsuring accurate coding and complianceManaging entire revenue cycle process

The Revenue Integrity Coding Analyst primarily focuses on accurate coding and compliance to optimize revenue, while the Revenue Cycle Specialist manages the broader revenue cycle, including billing and collections. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ, making them distinct yet related positions in healthcare revenue management.

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

To thrive as a Revenue Integrity Coding Analyst, you need a strong understanding of medical coding, billing regulations, and healthcare reimbursement systems, often supported by certifications such as CPC or CCS. Familiarity with coding software, electronic health records (EHR), and audit tools is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These competencies are vital to ensure accurate coding, compliance, and optimal revenue capture for healthcare organizations.

How does a Revenue Integrity Coding Analyst typically collaborate with clinical and billing teams to ensure accurate revenue capture?

Revenue Integrity Coding Analysts work closely with both clinical staff and billing departments to ensure medical codes are applied accurately and efficiently. They often review clinical documentation, clarify ambiguities with physicians, and communicate any coding discrepancies to billing teams. This collaboration helps prevent revenue leakage, supports compliance with regulations, and ensures timely and accurate reimbursement. Regular meetings and feedback sessions are common to address ongoing coding challenges and implement process improvements.
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What cities in Tennessee are hiring for Revenue Integrity Coding Analyst jobs? Cities in Tennessee with the most Revenue Integrity Coding Analyst job openings:
Outpatient Coding Integrity Specialist

Outpatient Coding Integrity Specialist

Parallon

Lebanon, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Parallon rating

7.8

Company rating: 7.8 out of 10

Based on 101 frontline employees who took The Breakroom Quiz

30th of 58 rated business consultants


Job description

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.  


What you will do in this role:  


  • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs 
  • Assists in ensuring HSC coding staff adherence with coding guidelines and policy 
  • Demonstrates and applies expert level knowledge of medical coding practices and concepts 
  • Participates on special reviews or projects 
  • Maintains or exceeds 95% productivity standards 
  • Maintains or exceeds 95% accuracy 
  • Meets all educational requirements as stated in current Company policy 
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current  

What qualifications you will need: 


  • High school diploma and/or GED preferred 
  • Undergraduate degree in HIM/HIT preferred 
  • Minimum of 3 years acute care inpatient/outpatient coding experience preferred 
  • Minimum of 3 years coding auditing/monitoring experience strongly preferred 
  • RHIA, RHIT and/or CCS preferred 

 Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.  


 CLICK HERE for more information on Parallon HCA Coding  


Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Auditor opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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