Revenue Integrity Specialist - Remote
TEKsystems, Richmond, VA, United States
Revenue Integrity Specialist
Overview
Seeking an experienced outpatient-focused revenue integrity analyst to support charge capture accuracy, billing compliance, and revenue integrity. This role audits charges, resolves coding and billing edits, identifies missed charges, and partners with clinical and billing teams to reduce denials and improve processes.
Key Responsibilities
Audit charges against medical records and ensure correct observation, infusion, and injection charging.
Resolve NCD/LCD, CCI, MUE, and medical necessity edits.
Assign HCPCS codes/modifiers and support denial prevention.
Identify charging trends, missed charges, and documentation issues.
Educate departments on proper charging and collaborate on process improvements.
Maintain audit reports and support RAC/HIM reviews as needed.
Qualifications
CPC or other coding certification required.
Recent coding experience in an acute‑care hospital.
Strong outpatient coding experience preferred.
Knowledge of ICD‑10‑CM, CPT, HCPCS, and payer rules.
Strong analytical, communication, and problem‑solving skills.
RN or LPN with extensive coding/auditing experience accepted.
Work Environment
Mon‑Fri, 8‑hour shifts (7 AM‑5 PM window).
Value Proposition
Contract‑to‑hire opportunity.
Job Type & Location This is a Contract to Hire position based out of Richmond, VA.
Pay And Benefits The pay range for this position is $40.00 - $42.00/hr.
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefitsEmployee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type This is a hybrid position in Richmond, VA.
Application Deadline This position is anticipated to close on Apr 17, 2026.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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Key Responsibilities
Audit charges against medical records and ensure correct observation, infusion, and injection charging.
Resolve NCD/LCD, CCI, MUE, and medical necessity edits.
Assign HCPCS codes/modifiers and support denial prevention.
Identify charging trends, missed charges, and documentation issues.
Educate departments on proper charging and collaborate on process improvements.
Maintain audit reports and support RAC/HIM reviews as needed.
Qualifications
CPC or other coding certification required.
Recent coding experience in an acute‑care hospital.
Strong outpatient coding experience preferred.
Knowledge of ICD‑10‑CM, CPT, HCPCS, and payer rules.
Strong analytical, communication, and problem‑solving skills.
RN or LPN with extensive coding/auditing experience accepted.
Work Environment
Mon‑Fri, 8‑hour shifts (7 AM‑5 PM window).
Value Proposition
Contract‑to‑hire opportunity.
Job Type & Location This is a Contract to Hire position based out of Richmond, VA.
Pay And Benefits The pay range for this position is $40.00 - $42.00/hr.
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefitsEmployee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type This is a hybrid position in Richmond, VA.
Application Deadline This position is anticipated to close on Apr 17, 2026.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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