Remote Revenue Integrity Specialist

ovationhealthcare; United States; On-site; USD 65,000 - 85,000; Full time

Job summary

Ovation Healthcare is focused on protecting revenue through precise coding initiatives and improved charge capture. This role acts as the bridge between Clinical Operations, Patient Financial Services, Coding, CDI, and RCM Leadership to ensure all billable services are captured and reimbursed.

The Specialist, Revenue Recovery will audit unbilled accounts, identify underpayments, and analyzeDenials to prevent revenue leakage.

Qualifications

• 2+ years in healthcare accounts receivable or revenue cycle resolution.
• Strong understanding of the healthcare revenue cycle.
• Experience with payer portals and CMS/regulatory requirements.
• Excellent written and verbal communication.

Responsibilities

• Audit unbilled accounts to ensure services documented, coded, and charged.
• Identify charge variances and partner with leaders to fix.
• Support revenue cycle leadership with analytics and reporting.
• Assist with Chargemaster validation and CMS/regulatory compliance.
• Intercept coding issues for resolution and reduce DNFB/DNFC days.
• Provide leadership with revenue integrity insights.
• Ensure collaboration between RRT Clinical Department.

Skills

Revenue cycle knowledge

Analytics

Communication

Attention to detail

Payer contracts

Denial analysis

CMS knowledge

Payer portals

Education

High School Diploma

Associate/Bachelor's degree preferred

Job description

Ovation Healthcare is focused on protecting revenue through precise coding initiatives and improved charge capture. This role acts as the bridge between Clinical Operations, Patient Financial Services, Coding, CDI, and RCM Leadership to ensure all billable services are captured and reimbursed.

The Specialist, Revenue Recovery will audit unbilled accounts, identify underpayments, and analyzeDenials to prevent revenue leakage.