Revenue Integrity & Provider Coding Coach

Insight Global; Massachusetts; On-site; USD 85,000 - 120,000; Full time

Job summary

UMass Memorial is seeking a Revenue Integrity Specialist to partner with physicians and provider groups to ensure services are documented, coded, and billed accurately. You will act as a coding and documentation SME, conducting audits and guiding CPT/HCPCS and compliance questions on site.

You will develop training materials, lead presentations for single providers to large groups, and provide onsite support to improve coding accuracy, documentation quality, and revenue capture while reducing

Qualifications

• CPC certification is required.
• 3+ years of professional billing and coding experience, preferably in a physician/professional fee environment.
• Experience training, educating, presenting to, and influencing physicians/providers on coding and documentation best practices.
• Strong communication skills and confidence working directly with providers, including the ability to challenge inaccurate coding or documentation when necessary.
• Ability and willingness to provide onsite "at-the-elbow" support across UMass Memorial practices as needed.

Responsibilities

• Conduce coding audits to identify documentation and revenue integrity gaps.
• Develop training materials and educational programs.
• Lead presentations from one-on-one coaching to large physician groups.
• Provide onsite support to providers to improve coding accuracy and revenue capture and reduce billing risk.
• Research payer and regulatory requirements related to CPT, HCPCS, and documentation.

Skills

CPC Certification

Coding audits

Provider education

Onsite support

Communication skills

Job description

UMass Memorial is seeking a Revenue Integrity Specialist to partner with physicians and provider groups to ensure services are documented, coded, and billed accurately. You will act as a coding and documentation SME, conducting audits and guiding CPT/HCPCS and compliance questions on site.

You will develop training materials, lead presentations for single providers to large groups, and provide onsite support to improve coding accuracy, documentation quality, and revenue capture while reducing