Anesthesia Revenue Integrity Specialist

Tenet Healthcare; Florida; On-site; USD 70,000 - 100,000; Full time

Job summary

Tenet Healthcare seeks a Revenue Integrity Specialist to ensure accurate anesthesia billing across hospital-based groups in Palm Beach County. You will identify missed charges, fix documentation gaps, and coordinate with anesthesia providers, coders, and billing partners to strengthen revenue capture while staying compliant.

Responsibilities include reconciling schedules, reviewing records for timing and handoffs, validating coding and modifiers, and addressing denials and variances with

Qualifications

• High school diploma or equivalent; additional education or training in medical billing, coding, health information management, or a related field.
• Three years of professional revenue cycle, coding, billing, auditing, or revenue integrity experience, including at least one year working directly with anesthesia professional claims.
• Working knowledge of anesthesia coding and reimbursement, CPT, HCPCS, ICD-10-CM, anesthesia time reporting, medical direction documentation, concurrency, and payer-specific modifiers.
• Experience reconciling encounters and charges, researching denials, interpreting remittance information, and reviewing documentation for claim accuracy.
• Proficiency with electronic health records, practice management or billing systems, and Microsoft Excel for reconciliations, trend analysis, and reporting.

Responsibilities

• Reconcile operating room, labor and delivery, endoscopy, and other procedural schedules with anesthesia records and posted professional charges. Investigate missing encounters, duplicate charges, canceled cases, and interface exceptions.
• Review anesthesia records for accurate start and stop times, provider handoffs, overlapping services, and other documentation affecting billable time. Obtain clarification through approved workflows before charge release.
• Validate anesthesia procedure and diagnosis coding, base and time units, provider attribution, and applicable modifiers in collaboration with coding staff. Apply payer-specific requirements for personally performed, medically directed, medically supervised, and CRNA or anesthesiologist assistant services.
• Review documentation supporting medical direction and concurrency, monitored anesthesia care, physical status, and qualifying circumstances. Escalate discrepancies and confirm billing reflects documented services and payer rules.
• Review separately reportable services, including postoperative pain procedures, nerve blocks, invasive monitoring, and obstetric anesthesia, for documentation, bundling edits, and payer-specific payment requirements.
• Manage charge holds and documentation exception queues; follow up with anesthesiologists, CRNAs, and anesthesiologist assistants to resolve incomplete or inconsistent records within established timelines.
• Analyze anesthesia denials, claim rejections, and underpayments. Coordinate corrected claims, appeals, and supporting records with billing teams, and implement changes that prevent recurring errors.
• Compare payments with applicable payer contracts, anesthesia conversion factors, and reimbursement methodologies. Escalate variances and track resolution with revenue cycle leadership.
• Partner with hospital departments, provider enrollment, IT, and external billing vendors to resolve demographic, insurance, rendering provider, place of service, and data transmission issues that affect professional claims.
• Conduct focused audits, maintain findings and corrective action logs, and educate providers and staff on recurring documentation and charge capture issues. Follow approved coding, privacy, and compliance policies.

Skills

Analytical skills

Attention to detail

Clear communication

Prioritization & deadlines

PHI confidentiality

Education

HS diploma or equivalent

Medical billing/coding training

Health information management knowledge

Tools

Microsoft Excel

Electronic Health Records (EHR)

Billing systems

Job description

Tenet Healthcare seeks a Revenue Integrity Specialist to ensure accurate anesthesia billing across hospital-based groups in Palm Beach County. You will identify missed charges, fix documentation gaps, and coordinate with anesthesia providers, coders, and billing partners to strengthen revenue capture while staying compliant.

Responsibilities include reconciling schedules, reviewing records for timing and handoffs, validating coding and modifiers, and addressing denials and variances with