Revenue Integrity Analyst: Denials & Compliance

Covenant Health; Knoxville (TN); On-site; USD 65,000 - 80,000; Full time

Job summary

Covenant Health in Knoxville seeks a Revenue Integrity Specialist to lead complex internal analyses of denials and root causes in the revenue cycle. You will review charging, coding, and documentation to drive corrective action and compliance, with education for auditors and coders.

The role requires at least three years in healthcare billing and strong PC skills in Excel and Office. This is a full-time day-shift position based in Covenant Health’s Knoxville facilities.

Qualifications

• Associates or Bachelor’s degree in HIM, Coding, Finance, Business, or Healthcare is required.
• Three (3) years’ experience in healthcare with knowledge of billing guidelines and third-party payor rules.
• Proficiency in PC usage (Windows) and basic office software (Excel, Word) is expected.

Responsibilities

• Reviews ADR logs, Denial Management System reports and payer websites to identify denials and address gaps.
• Researches payer information related to claims, charging, coding, and billing to ensure compliance.
• Performs denial analysis to recover reimbursement and streamline processes.
• Ensures the appeals process adheres to contractual and regulatory guidelines.
• Provides education to auditors, nurses, and coders on denials and appeals processes.
• Presents payor issue lists to leadership and coordinates denials-related meetings.

Skills

Billing knowledge

Analytical ability

Research skills

Communication skills

Problem solving

Education

Associates or Bachelor’s degree in HIM/Coding/Finance/Business/Healthcare

Tools

Excel

Word processing

Job description

Covenant Health in Knoxville seeks a Revenue Integrity Specialist to lead complex internal analyses of denials and root causes in the revenue cycle. You will review charging, coding, and documentation to drive corrective action and compliance, with education for auditors and coders.

The role requires at least three years in healthcare billing and strong PC skills in Excel and Office. This is a full-time day-shift position based in Covenant Health’s Knoxville facilities.