Revenue Integrity Analyst

Job Summary

A company is looking for a Revenue Integrity Analyst, Remote, M-F.

Key Responsibilities

• Conduct medical and revenue audits to ensure compliance with regulations and guidelines
• Perform pre-bill analysis and follow up on documentation to support accurate billing
• Serve as a Subject Matter Expert on revenue integrity issues and manage appeals processes

Required Qualifications

• Bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or a related field
• 3 years of experience in auditing and/or coding; clinical experience preferred
• Coding certification (e.g., CPC, CCS, RHIA, RHIT) or equivalent experience preferred
• In-depth knowledge of Medicare/Medicaid regulations and reimbursement methodologies
• Experience in revenue cycle and/or denial management