Revenue Integrity Analyst - Remote

TEKsystemsHouston, TX
Hybrid

About The Position

Seeking an experienced outpatient-focused revenue integrity analyst to support charge capture accuracy, billing compliance, and revenue integrity. This role audits charges, resolves coding and billing edits, identifies missed charges, and partners with clinical and billing teams to reduce denials and improve processes.

Requirements

  • CPC or other coding certification required
  • Recent coding experience in an acute-care hospital
  • Knowledge of ICD‑10‑CM, CPT, HCPCS, and payer rules
  • Strong analytical, communication, and problem-solving skills
  • RN or LPN with extensive coding/auditing experience accepted

Nice To Haves

  • Strong outpatient coding experience preferred

Responsibilities

  • Audit charges against medical records and ensure correct observation, infusion, and injection charging.
  • Resolve NCD/LCD, CCI, MUE, and medical necessity edits.
  • Assign HCPCS codes/modifiers and support denial prevention.
  • Identify charging trends, missed charges, and documentation issues.
  • Educate departments on proper charging and collaborate on process improvements.
  • Maintain audit reports and support RAC/HIM reviews as needed.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

501-1,000 employees

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