Remote Revenue Integrity Analyst – Professional Billing

Insight Global; Chicago (IL); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare consulting firm in Chicago seeks a Revenue Integrity Specialist to identify charge capture opportunities and ensure compliant billing. The role requires a Bachelor's degree or equivalent experience, with at least 3 years in professional billing or revenue integrity. Candidates must demonstrate strong CPT coding knowledge and analytical skills, and should be proficient in Microsoft Office. This position emphasizes collaboration across various departments to maintain revenue integrity.

Qualifications

• Minimum of 3 years of relevant experience in professional billing or revenue integrity.
• Strong understanding of third-party billing requirements.
• Proficiency in Microsoft Office Suite.

Responsibilities

• Identify charge capture opportunities for healthcare providers.
• Develop action plans to resolve revenue variances.
• Collaborate with various teams to ensure compliant billing.

Skills

CPT coding knowledge

Verbal/written communication

Analytical skills

Microsoft Office proficiency

Education

Bachelor’s degree in Business or related field

10+ years equivalent experience

Tools

Epic modules

Job description

Key Responsibilities

• Identify charge capture opportunities and compliance issues for physicians and advanced practice providers.

• Maintain and monitor Revenue Integrity charge router and review work queues; identify trends and implement improvements.

• Review reporting to mitigate revenue variances at the department, bill area, provider, and CPT/HCPCS level.

• Develop action plans to resolve revenue variances prospectively and retrospectively.

• Collaborate with PB Coding, Charge Capture, Clinical Operations, and Revenue Cycle teams to ensure accurate and compliant billing.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [e-mail] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

Required Qualifications:

• Bachelor’s degree in Business, Healthcare Management, HIM, Finance, or related field (or 10+ years equivalent progressive experience).

• Minimum of 3 years of relevant experience in professional billing or revenue integrity.

• Strong understanding of CPT coding and third-party billing requirements, with Medicare/Medicaid regulations knowledge.

• Excellent verbal/written communication, collaboration, analytical, and accounting skills.

• Proficiency in Microsoft Office Suite and proven facilitation/presentation skills.

Preferred Qualifications:

• Experience with Epic modules (Willow, OpTime, ClinDoc, Radiant, Cupid, Ambulatory, Beacon).

• Clinical or coding credentials (RHIA, RN, CPC, CPC-H, CCS, COC, CPA, CHFP).

• Background in finance, revenue cycle, or healthcare operations.