Certified Revenue Integrity Specialist

Job Summary

A company is looking for a Revenue Integrity Specialist to support billing edit resolution activities for various service lines.

Key Responsibilities

• Conduct charge capture analysis and maintain related work queues for assigned service lines
• Resolve claim edits by analyzing medical record documentation and applying payer guidelines
• Advise service line leaders on charge code usage and identify opportunities for additional revenue capture

Required Qualifications

• H.S. Diploma or General Education Degree (GED) Required
• 3 years of related healthcare experience in charge integrity, charge capture, or similar areas Required
• Experience working with Epic Required
• AHIMA or AAPC certification, or RN licensure required