Revenue Integrity Review Specialist

🕒 July 30

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Waystar

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

🔥 Funding within the last year

💰 $709.2M Post-IPO Secondary - Waystar on 2025-09

Healthcare • SaaS • Artificial Intelligence

Waystar is an AI-powered healthcare revenue cycle software company that provides a unified, cloud-based platform to simplify healthcare payments and automate the end-to-end revenue cycle for healthcare providers. Its platform covers financial clearance (eligibility verification, patient estimation, prior authorizations), patient financial care, clinical integrity and revenue capture (charge and DRG anomaly detection), claim and payer payment management, denial recovery, and analytics and reporting, with integrations to EHRs and payer systems. Waystar serves hospitals, health systems, physician and specialty practices, ambulatory surgery centers, and other provider organizations, leveraging agentic, generative, and predictive AI to accelerate reimbursement, reduce denials, and improve financial visibility and patient payment experiences.

📋 Description

• Conduct thorough record reviews to identify opportunities for best practice process improvement • Perform reviews with sound judgment • Demonstrate proficiency in writing effective clinical documentation queries • Maintain a high level of productivity • Ensure alignment with customer expectations • Collaborate with internal teams, providing feedback from record reviews to support optimal site performance and best practice improvement

🎯 Requirements

• Bachelor’s Degree in Nursing or equivalent in Health Information Management • A minimum of 3-5 years of experience in a Clinical Documentation Integrity (CDI) role • Certification as a Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) • Proficient in Microsoft Excel • Knowledge of medical record coding, healthcare billing, and revenue cycle management (preferred) • 5+ years of clinical experience in an acute care setting (preferred) • Certified Coding Specialist (CCS) (preferred) • Ability to travel for department and company meetings

🏖️ Benefits

• Competitive total rewards (base salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • Generous paid time off for non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays • Flexible time off for exempt team members + 13 paid holidays • Paid parental leave (including maternity + paternity leave) • Education assistance opportunities and free LinkedIn Learning access • Free mental health and family planning programs, including adoption assistance and fertility support • 401(K) program with company match • Pet insurance • Employee resource groups