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 ...
64 System One Data Integrity Analyst Jobs Hiring Near You
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 ...
Databricks, Microsoft Azure, SQL and advanced data analysis Data Governance Platforms, Data Quality Monitoring Solutions #J-18808-Ljbffr
Databricks, Microsoft Azure, SQL and advanced data analysis Data Governance Platforms, Data Quality Monitoring Solutions #J-18808-Ljbffr
Data & Systems Analyst
Mclean, VA · Remote
Data & Systems Analyst - Modernization Location: McLean, VA - can be Remote (EST) Type: Contract to ... System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering ...
Quick apply
Data & Systems Analyst
Mclean, VA · Remote
Data & Systems Analyst - Modernization Location: McLean, VA - can be Remote (EST) Type: Contract to ... System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering ...
Systems Analyst Folder DOH - Unassigned Customer TN DOH Quantity Requested1 Submission Deadline 05/31/2025 Description Job Overview We are seeking a detail-oriented Data Mapping & Integrity Analyst ...
Systems Analyst Folder DOH - Unassigned Customer TN DOH Quantity Requested1 Submission Deadline 05/31/2025 Description Job Overview We are seeking a detail-oriented Data Mapping & Integrity Analyst ...
Data Quality Analyst
Pleasanton, CA · On-site
We are actively seeking Data Quality Analyst for one of our client, Please share your resume with current location & full contact info Role:Data Quality Analyst Location:Location: Pleasanton, CA ...
Data Quality Analyst
Pleasanton, CA · On-site
We are actively seeking Data Quality Analyst for one of our client, Please share your resume with current location & full contact info Role:Data Quality Analyst Location:Location: Pleasanton, CA ...
Revenue Integrity Analyst
Birmingham, AL · On-site
$70K - $85K/yr
Our work spans a broad spectrum of services, all designed to support physicians, health systems and ... Effectively process and integrate primary and/or secondary data sources using database warehouse ...
Revenue Integrity Analyst
Birmingham, AL · On-site
$70K - $85K/yr
Our work spans a broad spectrum of services, all designed to support physicians, health systems and ... Effectively process and integrate primary and/or secondary data sources using database warehouse ...
Senior Payment Integrity Analyst
Rancho Cucamonga, CA · On-site
$105 - $135/hr
Reporting to the Manager, Payment Integrity Operations, the Senior Payment Integrity Analyst ... Data file layouts and system configurations to troubleshoot and coordinate remediation efforts with ...
Senior Payment Integrity Analyst
Rancho Cucamonga, CA · On-site
$105 - $135/hr
Reporting to the Manager, Payment Integrity Operations, the Senior Payment Integrity Analyst ... Data file layouts and system configurations to troubleshoot and coordinate remediation efforts with ...
This position leverages data analytics, audit methodologies, and regulatory expertise to detect ... Apply knowledge of CPT, ICD-10, HCPCS, and NDC coding systems alongside provider contract terms to ...
This position leverages data analytics, audit methodologies, and regulatory expertise to detect ... Apply knowledge of CPT, ICD-10, HCPCS, and NDC coding systems alongside provider contract terms to ...
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Quick apply
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Quick apply
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Quick apply
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Payment Integrity Analyst
Rancho Cucamonga, CA · On-site
$80K/mo
This position leverages data analytics, audit methodologies, and regulatory expertise to detect ... Apply knowledge of CPT, ICD-10, HCPCS, and NDC coding systems alongside provider contract terms to ...
Payment Integrity Analyst
Rancho Cucamonga, CA · On-site
$80K/mo
This position leverages data analytics, audit methodologies, and regulatory expertise to detect ... Apply knowledge of CPT, ICD-10, HCPCS, and NDC coding systems alongside provider contract terms to ...
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Quick apply
Data Analyst
Daly City, CA · On-site
$25 - $28/hr
Coordinate with management to produce reports as required to ensure integrity of program data and ... System One not only serves as a valued partner for our clients, but we offer eligible employees ...
Specialist, Systems and Data Integrity
Leesburg, VA · On-site
$75 - $90/hr
Identify and execute system enhancements, automations, and new features that resolve technical debt ... Strong analytical abilities, competency in spreadsheet and database management, and excellent ...
Specialist, Systems and Data Integrity
Leesburg, VA · On-site
$75 - $90/hr
Identify and execute system enhancements, automations, and new features that resolve technical debt ... Strong analytical abilities, competency in spreadsheet and database management, and excellent ...
Strong knowledge of Epic, including basic reporting tools, system navigation, and workflows ... Sound ability to analyze financial and operational data to support decisions. Ability to work ...
Strong knowledge of Epic, including basic reporting tools, system navigation, and workflows ... Sound ability to analyze financial and operational data to support decisions. Ability to work ...
Principal Analyst, Power Markets Modeler
Newton, MA · Hybrid
$135K - $160K/yr
Systems Thinking: Understanding how data, technology, and market processes interact across the grid ... Over 1,000 market participants use Yes Energy solutions daily. The business is a leader in all ...
Principal Analyst, Power Markets Modeler
Newton, MA · Hybrid
$135K - $160K/yr
Systems Thinking: Understanding how data, technology, and market processes interact across the grid ... Over 1,000 market participants use Yes Energy solutions daily. The business is a leader in all ...
Data Quality Analyst at Raymond James Financial Services Saint Petersburg, FL
Saint Petersburg, FL · On-site
$85 - $110/hr
Data Quality Analyst job at Raymond James Financial Services. Saint Petersburg, FL. Data Quality ... sound data integrity going forward. Essential Duties and Responsibilities * Fully understand ...
Data Quality Analyst at Raymond James Financial Services Saint Petersburg, FL
Saint Petersburg, FL · On-site
$85 - $110/hr
Data Quality Analyst job at Raymond James Financial Services. Saint Petersburg, FL. Data Quality ... sound data integrity going forward. Essential Duties and Responsibilities * Fully understand ...
Reporting to the Manager, Payment Integrity Operations, the Senior Payment Integrity Analyst ... Data file layouts and system configurations to troubleshoot and coordinate remediation efforts with ...
Reporting to the Manager, Payment Integrity Operations, the Senior Payment Integrity Analyst ... Data file layouts and system configurations to troubleshoot and coordinate remediation efforts with ...
Data & Systems Analyst
Mclean, VA · On-site
Data & Systems Analyst - Modernization Location: McLean, VA - can be Remote (EST) Type: Contract to ... System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering ...
Data & Systems Analyst
Mclean, VA · On-site
Data & Systems Analyst - Modernization Location: McLean, VA - can be Remote (EST) Type: Contract to ... System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering ...
Payment Integrity Analyst
Denver, CO · On-site +1
$77K - $96K/yr
... data analysis, issue resolution, systems support, and process improvement initiatives. This role ... Monitor claims quality and integrity in systems and work with IT or other teams to resolve ...
Payment Integrity Analyst
Denver, CO · On-site +1
$77K - $96K/yr
... data analysis, issue resolution, systems support, and process improvement initiatives. This role ... Monitor claims quality and integrity in systems and work with IT or other teams to resolve ...
System One Jobs Information
What is it like to work at System One?
System One is a professional services company that values collaboration, innovation, and a client-centric approach, fostering a dynamic and supportive work environment.
The company's team structure is designed to facilitate knowledge sharing and expertise exchange, with a flat organizational hierarchy that encourages open communication and cross-functional collaboration. System One's mission is to deliver high-quality solutions to its clients through a network of experienced professionals and cutting-edge technologies.
Working at System One may appeal to candidates who are looking for a challenging and rewarding career in a fast-paced, client-driven industry, with opportunities for professional growth and development in a collaborative and dynamic work environment.
The company's team structure is designed to facilitate knowledge sharing and expertise exchange, with a flat organizational hierarchy that encourages open communication and cross-functional collaboration. System One's mission is to deliver high-quality solutions to its clients through a network of experienced professionals and cutting-edge technologies.
Working at System One may appeal to candidates who are looking for a challenging and rewarding career in a fast-paced, client-driven industry, with opportunities for professional growth and development in a collaborative and dynamic work environment.
What makes System One an attractive place to work?
System One is a leading provider of workforce solutions and staffing services, known for its expertise in delivering high-quality talent to various industries. The company's workplace is characterized by a culture of innovation, collaboration, and flexibility, offering employees opportunities to work on diverse projects and develop their skills in a dynamic environment. By joining System One, professionals can expect to contribute to the growth and success of a forward-thinking organization, with opportunities for career advancement and professional development in a rapidly evolving industry.
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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