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 ...
The Revenue Integrity Specialist coordinates, evaluates and measures revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure ...
New
The Revenue Integrity Specialist coordinates, evaluates and measures revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure ...
New
Revenue Integrity Specialist
Etowah, TN · On-site
The Revenue Integrity Specialist coordinates, evaluates and measures revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure ...
Revenue Integrity Specialist
Etowah, TN · On-site
The Revenue Integrity Specialist coordinates, evaluates and measures revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure ...
BASIC PURPOSE OF THE JOB The Revenue Integrity Analyst is responsible for supporting and executing revenue integrity functions across charge capture, Charge Description Master (CDM) maintenance ...
BASIC PURPOSE OF THE JOB The Revenue Integrity Analyst is responsible for supporting and executing revenue integrity functions across charge capture, Charge Description Master (CDM) maintenance ...
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 ...
The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
New
The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
New
The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
Consulting Manager - Healthcare Revenue Integrity - Industry Advisory Location: Open to candidates across the US RSM's Healthcare Margin Improvement practice is searching for a Healthcare Revenue ...
Consulting Manager - Healthcare Revenue Integrity - Industry Advisory Location: Open to candidates across the US RSM's Healthcare Margin Improvement practice is searching for a Healthcare Revenue ...
The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
New
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The Director of Case Management & Revenue Integrity is a key leadership role within Mid-Revenue Cycle and Clinical Operations. The Director provides corporate oversight of patient-centered Case ...
New
Revenue Integrity and Charge Master Management: • Maintains and update pharmacy-related items within the hospital charge master, ensuring correct HCPCS, NDC, CPT, multipliers, units of measure, and ...
Revenue Integrity and Charge Master Management: • Maintains and update pharmacy-related items within the hospital charge master, ensuring correct HCPCS, NDC, CPT, multipliers, units of measure, and ...
Managed Services - Revenue Integrity/CDI/HIM - Director
Nashville, TN · On-site
$155K - $410K/yr
Industry/Sector Not Applicable Specialism Managed Services Management Level Director & Summary The Opportunity As a Managed Services - Revenue Integrity/CDI/HIM - Director, you will specialize in ...
Managed Services - Revenue Integrity/CDI/HIM - Director
Nashville, TN · On-site
$155K - $410K/yr
Industry/Sector Not Applicable Specialism Managed Services Management Level Director & Summary The Opportunity As a Managed Services - Revenue Integrity/CDI/HIM - Director, you will specialize in ...
Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual should have excellent customer service skills along with highly effective written / verbal ...
Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual should have excellent customer service skills along with highly effective written / verbal ...
You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...
You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...
You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...
You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We developed Complex Revenue Intelligence™ (CRI), a smarter approach to predict and prevent ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
Vice President, Denials & Revenue Recovery
Franklin, TN · On-site
$180 - $240/hr
We developed Complex Revenue Intelligence™ (CRI), a smarter approach to predict and prevent ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and prevent revenue ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and prevent revenue ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and prevent revenue ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and prevent revenue ... We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members ...
Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ...
Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ...
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Overview Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing health ...
INSURANCE APPEALS ASSOC
Knoxville, TN · On-site
Overview Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing health ...
... Revenue Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash Services/Credit Balances, Denials/Underpayments, Customer Service/Self Pay Flow, Correspondence ...
... Revenue Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash Services/Credit Balances, Denials/Underpayments, Customer Service/Self Pay Flow, Correspondence ...
Revenue Integrity information
See Tennessee salary details
$31.8K - $42.7K
1% of jobs
$42.7K - $53.5K
9% of jobs
$64.1K is the 25th percentile. Wages below this are outliers.
$53.5K - $64.4K
16% of jobs
$64.4K - $75.3K
15% of jobs
The median wage is $79.6K / yr.
$75.3K - $86.2K
24% of jobs
$93.6K is the 75th percentile. Wages above this are outliers.
$86.2K - $97.1K
15% of jobs
$97.1K - $108K
6% of jobs
$108K - $118.9K
6% of jobs
$118.9K - $129.8K
3% of jobs
$129.8K - $140.7K
2% of jobs
$140.7K - $151.6K
2% of jobs
$31.8K
$87.6K
$151.6K
How much do revenue integrity jobs pay per year?
What is a revenue integrity?
A Revenue Integrity job focuses on ensuring accurate billing, coding, and compliance within healthcare organizations to maximize revenue while adhering to regulations. Professionals in this role analyze financial and clinical data, identify discrepancies, and implement corrective measures to prevent revenue loss. They collaborate with coding, finance, and compliance teams to optimize reimbursement processes and maintain regulatory compliance.
What are the typical challenges faced by professionals in revenue integrity roles?
Professionals working in Revenue Integrity often encounter challenges such as keeping up with rapidly changing healthcare regulations, identifying and correcting billing errors, and ensuring proper documentation for compliance. They must regularly collaborate with clinical, coding, and billing teams to resolve discrepancies and maintain accurate patient records. Balancing efficiency with accuracy is vital in this role, as even small mistakes can lead to denied claims or revenue loss. The fast-paced nature of the healthcare industry makes adaptability and continuous learning important for success.
What are the key skills and qualifications needed to thrive in the revenue integrity position, and why are they important?
To thrive in Revenue Integrity, you need a solid understanding of healthcare billing, coding compliance, revenue cycle processes, and regulatory guidelines, often supported by a degree in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, billing software, and certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) are highly valuable. Strong analytical thinking, attention to detail, effective communication, and problem-solving abilities set top performers apart. These skills are crucial to ensuring accurate billing, preventing revenue loss, and maintaining compliance in a complex healthcare environment.
What does the revenue integrity department do?
What are the most commonly searched types of Revenue Integrity jobs in Tennessee?
The most popular types of Revenue Integrity jobs in Tennessee are:
What are popular job titles related to Revenue Integrity jobs in Tennessee?
For Revenue Integrity jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Revenue Integrity jobs in Tennessee look for?
The top searched job categories for Revenue Integrity jobs in Tennessee are:
What cities in Tennessee are hiring for Revenue Integrity jobs?
Cities in Tennessee with the most Revenue Integrity job openings:

Revenue Integrity Analyst
Franklin, TN • Remote
Contractor
Re-posted 23 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.
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