Remote Documentation Integrity Specialist

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

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.