Revenue Integrity Analyst: CDM & Pharmacy Billing

Regional One Health; Memphis (TN); On-site; USD 70,000 - 95,000; Full time

Job summary

Regional One Health in Memphis, TN seeks a Pharmacy Revenue Integrity Specialist to ensure accurate charge capture, billing, and revenue reporting. You will liaise with pharmacy, finance, and ancillary teams to optimize denial prevention and compliance with regulatory guidelines.

The role requires a Pharmacy Technician certification (PTCB/NHA) and TN license, plus experience in billing, coding, and financial analysis. Strong communication and system knowledge are essential for success.

Qualifications

• Requires PTCB or NHA pharmacy tech certification and TN license.
• Bachelor's or Associate degree in Finance/Accounting or related field preferred.
• Minimum 2 years in pharmacy operations, financial analysis, or billing.

Responsibilities

• Perform financial review and analysis to resolve billing edits affecting patient claims.
• Coordinate with ancillary departments to obtain information for proper billing.
• Identify charging, coding, or documentation issues and escalate as needed.

Skills

Billing analysis

Financial auditing

Regulatory compliance

Cross-functional comms

Education

Pharmacy Technician Certification (PTCB/NHA)

TN Pharmacy Tech License

Associate's or Bachelor's in Finance/Accounting

Tools

CDM system knowledge

Billing software

CPT/HCPCS coding

Job description

Regional One Health in Memphis, TN seeks a Pharmacy Revenue Integrity Specialist to ensure accurate charge capture, billing, and revenue reporting. You will liaise with pharmacy, finance, and ancillary teams to optimize denial prevention and compliance with regulatory guidelines.

The role requires a Pharmacy Technician certification (PTCB/NHA) and TN license, plus experience in billing, coding, and financial analysis. Strong communication and system knowledge are essential for success.