Revenue Integrity Analyst

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🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Etch

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2012

📣 Marketing

📦 Logistics

💼 Consulting

Marketing • Logistics • Consulting

Etch is a UK-based digital transformation and customer experience (CX) consultancy that helps established enterprises modernise legacy technology and design customer-centric digital experiences. Using its EtchElevate™ process the company combines experience design, growth marketing, technology and data (including composable architectures, CRM, e-commerce, and AI/ML analytics) and blended “fusion” teams to increase win rates, reduce costs, and accelerate growth. Etch is a Certified B Corporation and offers CX maturity diagnostics, agile delivery models, and short exploratory engagements to de-risk larger transformations.

📋 Description

• Support and execute revenue integrity functions across charge capture, CDM maintenance, coding and billing validation, reimbursement integrity, and revenue cycle performance monitoring • Maintain, review, update, and audit the Charge Description Master (CDM), including charge codes, revenue codes, modifiers, pricing, and charge routing logic • Evaluate charging vehicles and workflows to ensure timely and accurate charge capture • Monitor billing edits, charge errors, late charges, missing charges, and unbilled accounts; research and resolve issues before claim submission when possible • Review medical records and documentation to validate charges, coding accuracy, and compliance • Identify and resolve revenue leakage, underpayments, overpayments, and charge-related discrepancies • Support underpayment management and denial prevention through root cause analysis • Conduct charge capture, coding, and documentation audits across clinical departments and service lines • Monitor regulatory changes, payer policies, and billing rules and translate requirements into operational guidance • Serve as liaison to clinical departments, providers, and operational leaders • Provide education and guidance on charge capture, documentation, and billing practices • Collaborate with Coding, Revenue Cycle, Finance, and Managed Care teams • Monitor and report revenue integrity KPIs, including charge lag, missing charges, audit outcomes, and billing error trends • Prepare routine and ad hoc reports and support revenue integrity improvement initiatives • Assist Revenue Cycle, Coding, Finance, and Managed Care teams with special projects and operational needs • Handle Protected Health Information (PHI) in compliance with organizational policies and regulatory requirements

🎯 Requirements

• Bachelor's degree in healthcare administration, Finance, Business, Nursing, or a related field, or equivalent combination of education and experience • Minimum of three (3) to five (5)+ years of experience across revenue integrity, revenue cycle operations, charge capture, coding, or billing • Strong working knowledge of CDM management, charge capture, and revenue cycle workflows • Advanced understanding of CPT, HCPCS, ICD-10 coding, NCCI edits, and reimbursement methodologies including DRG, OPPS, and managed care • Ability to review and interpret payer contracts, billing guidelines, and regulatory requirements • Strong analytical, problem-solving, and audit skills with attention to detail • Effective written and verbal communication skills; ability to educate and collaborate with clinical and operational stakeholders • Proficiency in Microsoft Excel and other reporting tools; Epic experience preferred • Ability to work independently, prioritize competing demands, and adapt in a small-facility, multi-hat environment • No license or certification required • Ability to handle Protected Health Information (PHI) in compliance with organizational policies and regulatory requirements • Ability to perform the stated physical requirements, with reasonable accommodation where applicable

🏖️ Benefits

• Fully Remote work arrangement • Reasonable accommodation may be made for individuals with disabilities • Team engagement culture centered on Compassion, Ownership, Respect, and Excellence