Documentation Integrity Analyst

Eightelevengroup; Skokie (IL); Hybrid; USD 41,000 - 48,000; Full time

Job summary

Medasource is seeking a Documentation Integrity Analyst to perform specialized second-level review of medical records for vascular and high-risk services. You will assess documentation, coding requirements, and payer coverage to determine medical necessity and support audit readiness.

The role requires collaboration across departments to resolve deficiencies, educate providers, and improve processes. Remote work with standard hours 8–4:30 CT and a six-month contract.

Qualifications

• Interpret and analyze medical-record documentation and payer guidelines.
• Proficient with ICD-10, CPT-4, HCPCS coding systems.
• Ability to prioritize workload and meet deadlines.
• Experience with Epic Billing and 3M Coding Systems.

Responsibilities

• Perform second-level, pre-service review of vascular and high-risk cases against payer policies; verify medical necessity.
• Identify missing or inconsistent documentation and escalate as needed.
• Coordinate with providers to obtain missing records and clarify documentation.
• Collaborate with clinical operations, Coding, Billing, HIM, and Compliance to resolve complex cases.
• Maintain records of reviews, outcomes, and turnaround times.
• Analyze findings and summarize review trends and audit risks.
• Monitor changes in Medicare policies, NCDs, LCDs, and coding requirements.
• Develop vascular-specific reference materials and standardized workflows.

Skills

Medical terminology

ICD-10

CPT-4

HCPCS coding

MS Office

Epic Billing

3M Coding Systems

Time management

Education

RHIA/RHIT/CCS/CCS-P/CPC/CPS

Associates

Bachelors

Revenue Cycle experience

Tools

Epic Billing

3M Coding Systems

Job description

Job Title:Documentation Integrity Analyst

Hourly/Salary Compensation Range:$30-35

Contract Length:6 months

Location:Remote

Hours:8-4:30 CT

Start Date:10/26/26

Job Summary

The Revenue Integrity Analyst is responsible for performing specialized second-level review of medical records for vascular and other assigned high-risk services. The role evaluates clinical documentation, coding requirements, and payer coverage criteria to determine whether the medical record supports the ordered service; coordinates resolution of documentation deficiencies; and supports audit readiness, regulatory compliance, provider education, and continuous process improvement.

Responsibilities

• Specialized medical-record and coverage review

  Perform second-level, pre-service review of vascular and other assigned high-risk cases against applicable Medicare and commercial payer policies, NCDs, LCDs, coding requirements, and regulatory and audit expectations. Validate that the physician order, progress notes, and supporting clinical documentation are complete, consistent, and sufficient to establish medical necessity.

• Documentation-deficiency identification and case disposition

  Identify missing, incomplete, inconsistent, or unsupported documentation and determine the appropriate next step in accordance with established workflows. Escalate cases that do not support coverage requirements and facilitate appropriate resolution prior to service or billing whenever possible.

• Provider outreach and documentation follow-up

  Coordinate with ordering providers and their offices to obtain missing medical records, clarify documentation, and support timely resolution of cases requiring additional information.

• Cross-functional case resolution

  Collaborate with clinical operations, Coding, Billing, HIM, Revenue Integrity, Compliance, and other stakeholders to resolve complex cases, clarify regulatory or payer requirements, and address recurring documentation or coverage concerns.

• Review tracking and audit documentation

  Maintain accurate records of cases reviewed, identified deficiencies, provider outreach, determinations, outcomes, turnaround times, corrective actions, and recurring areas of risk.

• Reporting and trend analysis

  Analyze and summarize review findings, documentation trends, audit risks, and workflow outcomes.

• Regulatory and payer-policy monitoring

  Monitor changes in Medicare regulations, payer policies, NCDs, LCDs, and applicable coding or documentation requirements. Incorporate relevant changes into review criteria, workflows, and reference materials.

• Education and process improvement

  Develop and maintain vascular-specific and other assigned clinical reference materials, documentation guidance, educational resources, and standardized workflows.

Qualifications

• The ability to interpret and analyze medical record documentation, encounter forms, and lab reports, Explanation of Benefits, CMS claim forms, third party payor guidelines and government regulations.
• Aptitude for medical terminology, ICD-10, CPT-4, and HCPCS coding systems.
• Knowledge of research steps utilized to identify appropriate code selection or billing requirements.
• Working knowledge of CPT-based coding principles from both an inpatient and outpatient reimbursement perspective, UB-04, MA claim form, and the HCFA-1500, charging processes and compliance issues.
• Ability to prioritize and organize workload and meet deadlines.
• Proficiency in MS Office's suite of products, including Access and PowerPoint, and the internet.
• Experience with Epic Billing and 3M Coding Systems.

Education/Licences/Certifications

RHIA, RHIT, CCS-P, CCS, CPS, or CPC: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), or Certified Professional Services Coder (CPS); up to 10 years of directly related professional experience may be considered in lieu of the stated licenses/certification requirements.

Associates Required, Bachelors Preferred.

2 years experience in Revenue Cycle required

Documentation Integrity Analyst Skokie, Illinois

For over 16 years, Medasource has established and maintained relationships that are designed to meet your IT staffing needs. Whether it’s contract, contract-to-hire, or permanent placement work, we customise our search based upon your company’s unique initiatives, culture and technologies. With our national team of recruiters placed at 21 major hubs around the nation Medasource finds the people best-suited for your business. When you work with us, we work with you. That’s the Medasource promise.

Medasource is an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression, sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

Benefits & Perks:

Medasource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.

Pay Disclaimer:

The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.