Hospital Billing Revenue Integrity Analyst

Talent Groups; Massachusetts; Remote; USD 83,000 - 110,000; Full time

Job summary

A leading healthcare organization is seeking a Hospital Billing Revenue Integrity Analyst. This role involves coding, analyzing clinical information, and ensuring compliance with healthcare regulations. Candidates must have strong problem-solving and communication skills and be able to work independently. The position is remote but candidates must reside in specific states.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• Demonstrate competency in coding and abstracting outpatient records.
• Ability to apply accurate coding to hospital and physician billing scenarios.

Responsibilities

• Collect and analyze outpatient clinical information for reimbursement.
• Maintain understanding of regulations and standards in Health Information Management.

Skills

Time Management

Problem Solving

Communication

Job description

Hospital Billing Revenue Integrity Analyst

Hospital Billing Revenue Integrity Analyst

**Our client is only able to work with W2 candidates at this time (US Citizen or Green Card Perm Residents)**

Location Details: Remote – candidates must live in MA, WA, NH, CT, NY, CA, PA, TX, OH, IL., FL and GA

Duration: 3-6 months to start, potential to convert to full-time

Job Description/Responsibilities

• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
• Collect and analyze outpatient clinical information to accurately report codes and abstract relevant information used for reimbursement, research, statistical financial planning and marketing initiatives.
• Demonstrate a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills. Is able to effectively utilize various computer systems in performance of job functions.
• Demonstrate an understanding of the revenue management cycle. Prioritizes data in accordance with established guidelines of all; governmental regulatory agencies and third party payers.
• Ability to apply accurate coding to hospital and physician billing scenarios for appropriate reimbursement
• Demonstrate competency in coding and abstracting outpatient records in accordance with ICD-9-CM and CPT-4 coding conventions and national coding guidelines, meeting the expected monthly quality and productivity standards according to departmental policy.
• Maintain an understanding of regulations, standards and practices as they relate to Health Information Management. Is knowledgeable of the various regulatory and data reporting agencies and their functions.
• Participate in continuing education opportunities and shows initiative in researching difficult or interesting subjects. Shares information with the rest of the team.
• Updates knowledge base annually in the following areas: ICD-9-CM, CPT-4 (valid and deleted codes), payment regulations for all payer types, coding conventions/rules as published in the ‘Coding Clinic’, and ‘CPT Assistant’, as well as changes in medical terminology and advances in medical and surgical procedures.

**This client does require up to date Covid and Flu vaccinations**

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Other and Analyst

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Talent Groups by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Get notified about new Revenue Analyst jobs in Massachusetts, United States.

Boston, MA $83,250.00-$110,000.00 1 month ago

Boston, MA $110,500.00-$165,800.00 2 weeks ago

Business Analyst (Remote - Massachusetts)

Pharmacy Analyst (Medicaid Business Unit - Remote)

Scientific Business Analyst, Scientific AI

Revenue Operations Analyst Manager (Remote)

Sr Pricing Analyst - Fintech foundation (100% Remote - USA)

Massachusetts, United States 13 hours ago

Senior Financial Planning and Analysis Analyst

Massachusetts, United States 11 hours ago

Enterprise Revenue Cycle Program Manager (Remote)

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.