Remote Revenue Integrity & Coding Specialist

Astrana Health Management; Las Vegas (NV); Remote; USD 34,000 - 43,000; Full time

Job summary

Astrana Health Management is seeking a Coding & Revenue Integrity Specialist to ensure accurate coding and compliant revenue cycle performance across payer lines. The role involves chart audits, risk adjustment validation, and education of providers to improve documentation standards.

The position is primarily remote and based in Las Vegas, NV, with onsite quarterly meetings and trainings. Candidates must reside locally and participate in in-person sessions as needed to support operational

Qualifications

• 3–5 years of experience in medical coding, billing, auditing, or related healthcare operations.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, medical terminology, and documentation standards.
• Experience supporting Medicare, Medicare Advantage, Medicaid Managed Care, and Commercial payer programs.
• Proficiency with EHR platforms and Microsoft Office Suite; experience with eClinicalWorks preferred.
• Ability to manage multiple priorities while working independently in a remote environment.

Responsibilities

• Conduct prospective and retrospective chart audits to ensure coding accuracy, documentation integrity, and regulatory compliance.
• Accurately assign ICD-10-CM, CPT, HCPCS, and modifier codes based on provider documentation and coding guidelines.
• Validate HCC and Risk Adjustment diagnoses and identify documentation opportunities that support accurate risk capture.
• Identify coding, documentation, and compliance gaps and provide actionable feedback to providers and operational teams.
• Perform routine coding audits, track findings and trends, and support corrective action initiatives.
• Deliver provider and staff education on documentation standards, coding requirements, compliance guidelines, and risk adjustment best practices.
• Support clean claim submission, denial prevention efforts, revenue optimization, and resolution of coding-related billing issues.
• Collaborate with Revenue Cycle, Quality, Clinical Operations, and provider teams to improve workflows and revenue integrity outcomes.
• Assist with audit readiness activities and maintain compliance with CMS, payer, HIPAA, and organizational requirements.
• Contribute to process improvement initiatives that strengthen coding quality, reimbursement accuracy, and overall revenue cycle performance.

Skills

ICD-10-CM knowledge

CPT/HCPCS coding

Documentation standards

Risk adjustment

Auditing

HCC coding

Analytical skills

EHR proficiency

MS Office

Independent remote work

Education

Associate's or Bachelor's degree preferred

Tools

eClinicalWorks

EHR platforms

Job description

Astrana Health Management is seeking a Coding & Revenue Integrity Specialist to ensure accurate coding and compliant revenue cycle performance across payer lines. The role involves chart audits, risk adjustment validation, and education of providers to improve documentation standards.

The position is primarily remote and based in Las Vegas, NV, with onsite quarterly meetings and trainings. Candidates must reside locally and participate in in-person sessions as needed to support operational