Revenue Integrity Specialist

Freeman Health System
  • MO
    30+ days ago

    Job Description

    Our Mission

    To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

    About Us - Revenue Integrity

    • Revenue Integrity plays a critical role in the healthcare revenue cycle by ensuring accurate charge capture, compliant billing practices, and optimization of reimbursement

    • Our team is dedicated to bridging clinical services and financial outcomes through detailed review, auditing, and process improvement initiatives

    • We are committed to maintaining compliance with regulatory requirements, payer guidelines, and industry standards while promoting transparency and accountability

    • Our professionals collaborate across departments to identify opportunities, resolve discrepancies, and strengthen revenue cycle performance

    • We support continuous learning and development to stay current with evolving healthcare regulations, coding guidelines, and technology advancements

    Schedule: FULL TIME

    What You'll Do

    The Revenue Integrity Specialist is responsible for daily monitoring, resolution, and oversight of revenue integrity work queues and charge related edits to ensure timely, accurate, and compliant charge flow prior to billing. This role focuses on pre AR revenue integrity by resolving charge review, claim edit, and charge router issues, identifying trends, and escalating systemic risks. The Revenue Integrity Specialist works collaboratively with CDM Analyst, Charge Audit Analysts, Coding, and operational partners to prevent revenue leakage and support enterprise revenue integrity objectives.

    Required Qualifications

    • Experience in revenue integrity, billing edits, charge review, or revenue cycle operations

    • Epic experience preferred

    • Proficiency in Microsoft Excel, Word, and reporting tools

    Preferred Qualifications

    • Experience supporting charge control or revenue reconciliation activities

    • Healthcare certification (coding, billing, or revenue cycle) preferred

    Freeman Perks and Programs

    • For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!

    • Health, vision, dental insurance

    • Retirement with employer match

    • Wellness program with discounts to Health Insurance or Cash Bonus with Participation

    • Milestone payments with longevity of employment

    • Paid Time Off (PTO) or Flex time off (FTO)

    • Extended Sick pay

    • Learning Center designated only for Freeman Family members

    • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

    #LI-DNI

    Numbers & Facts

    LocationMO

    Skills

    • Accounts Receivableunmatched
    • Analysis Skillsunmatched
    • Auditingunmatched
    • Billingunmatched
    • Charge Captureunmatched
    • Clinical Medicineunmatched
    • Dental Insuranceunmatched
    • Financial Analysisunmatched
    • Financial Servicesunmatched
    • Healthcareunmatched
    • Healthcare Qualityunmatched
    • Identify Issuesunmatched
    • Industry Standardsunmatched
    • Maintain Complianceunmatched
    • Medical Billingunmatched
    • Microsoft Excelunmatched
    • Microsoft Wordunmatched
    • Network Routersunmatched
    • Process Improvementunmatched
    • Reconciliationunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Revenue Managementunmatched
    • Time Managementunmatched
    • Trend Analysisunmatched
    • Vision Planunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder