This is a fully remote role.
Start Date: ASAP
Location: Remote
Schedule: Monday – Friday | 8:00am – 4:30pm CST
Duration: Temporary to Permanent
Compensation: $30 — $40, benefits upon conversion to perm
Our healthcare client seeks a Revenue Integrity Analyst to join their revenue cycle team! In this role, you will apply advanced knowledge of coding, charge capture, CDM management, and auditing to resolve complex charging scenarios, ensure compliant and accurate revenue capture, and support operational departments with education and process improvement.
RESPONSIBILITIES:
- Accurately enter and review charges on patient accounts for hospital/facility and professional services in accordance with CMS and AMA guidelines
- Work Epic Account, Charge Review, and Claim Edit work queues to resolve NCCI edits, MUE edits, PTP edits, and Outpatient Coding Edits (OCE) using clinical documentation, coding rules, and modifier application
- Assess and contribute to an accurate Charge Description Master (CDM) by evaluating revenue codes, CPT/HCPCS codes, descriptions, and pricing
- Audit and reconcile charges against clinical documentation, coding rules, and charging methodologies for internal and external audit purposes
- Identify charge capture trends and missed revenue opportunities; develop and implement process improvements and training materials
- Collaborate with external vendors to review charge capture opportunities and correct accounts as needed
- Serve as subject matter expert for team members, assisting with complex account resolution and coding questions
- Research complex payer requirements to ensure compliant billing, timely payment, and maximum reimbursement
- Meet or exceed accuracy, quality, and productivity standards set by CMS, OIG, and department leadership
- Engage in ongoing education in revenue integrity, CDM, charge auditing, and related areas
QUALIFICATIONS:
- Associate’s degree or higher
- 2–4 years of healthcare experience in billing, charge entry, charge capture, or CDM management
- Active AAPC or AHIMA certification (e.g., CPC, CCS, RHIT) or Epic Software Certification
- Proficient in Epic EHR, including charge review and claim edit work queues
- Advanced knowledge of medical terminology, UB-04 Revenue Codes, CPT, HCPCS Level II, and modifiers
- Strong analytical and critical thinking skills with a high degree of accuracy
- Excellent written and oral communication skills
- Proficiency with Microsoft Office Suite
Preferred Qualifications
- Experience with outpatient coding edits (OCE) and National Correct Coding Initiative (NCCI) guidelines
- Familiarity with revenue integrity auditing methodologies and charge integrity best practices
- Prior experience identifying missed revenue opportunities and leading process improvement initiatives
City Staffing is committed to diversity, equity, and inclusion (DEI) in all aspects of our business. As a women-owned and operated business, WBE certified, we recognize the importance of creating an inclusive and welcoming work environment for all individuals regardless of age, race, creed, color, national origin, sex, ability, marital status, gender identity and/or expression, or sexual orientation.
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