Revenue Integrity Analyst

TekSystems is currently hiring for several Revenue Integrity Analyst's in the Chesapeake, VA area These positions will go FULLY REMOTE after training on site + MUST HAVE: CPC + Knowledge of ICDu201110u2011CM, CPT, and HCPCS coding systems + Familiarity with Medicare, Medicaid, and commercial payer guidelines + Understanding of charge capture, billing audits, and revenue integrity processes + Strong analytical, organizational, and problemu2011solving skills + Ability to communicate effectively with clinical and nonu2011clinical staff + Attention to detail with a strong focus on accuracy and complianc Description Position Summary The Revenue Integrity / Charge Capture Analyst supports accurate charging, coding edits, and revenue capture across multiple departments. This role manages multiple work queues, reviews coding and billing edits, identifies missed or incorrect charges, and partners with clinical departments and billing teams to resolve issues, prevent revenue leakage, and improve processes. Key Responsibilities Charge Capture & Coding Review Manage and prioritize multiple work queues related to coding and charge capture issues. Review and resolve NCD/LCD edits, MUE edits, and CCI edits to ensure compliant billing. Perform Charge Capture Audit (CCA) reviews to identify missed charges when departments fail to capture billable services. Review Observation and Extended Recovery encounters, including infusion and injection charge posting. Issue Resolution & Followu2011Up Identify, research, and resolve room and board billing issues in coordination with impacted departments. Work closely with billing teams to follow up on edits, corrections, and denied or delayed claims. Address and support resolution of patient billing complaints related to charge accuracy. Education & Collaboration Educate departments on recurring charge capture, coding, or documentation issues. Communicate trends and frequent errors to leadership and operational teams to prevent repeat issues. Serve as a liaison between clinical departments, revenue cycle, and billing to ensure timely resolution of issues. Additional Duties Handle miscellaneous revenue cycle and charge-related tasks as assigned. Support daily operational needs related to billing accuracy and revenue integrity. HR JD- Position Summary The Revenue Integrity Specialist supports accurate hospital billing by reviewing charges against medical record documentation. This role audits itemized charges, resolves billing edits, assigns appropriate modifiers, and ensures compliance with payer requirements. The Specialist works closely with revenueu2011producing departments, billing teams, Health Information Management, and audit partners to identify missed charges, prevent denials, and improve charge capture processes. Key Responsibilities Charge Review & Auditing Audit itemized patient charges against medical records and hospital documentation. Review observation accounts for carveu2011out observation hours, extended recovery, event management, and appropriate charging. Review documentation to support infusion and injection charge posting. Perform patientu2011requested audits, scheduled quality audits, and random audits as needed. Ensure charge accuracy and data integrity prior to billing and claims submission. Billing Edits & Denials Support Research and resolve edited claims for medical necessity and compliance. Assign appropriate HCPCS codes and modifiers and advise billing staff accordingly. Review payer remittance advice and remark/reason codes to understand and prevent denials. Identify denial trends and root causes and support prevention efforts. Collaboration & Education Serve as a resource to hospital departments for charging, coding, and billing questions. Work directly with revenueu2011producing departments to identify lost or incorrect charges. Provide education and guidance on proper charge capture and charging processes. Collaborate with Patient Financial Services, Health Information Management, Internal Audit, Regulatory Review, and external consultants as needed. Reporting & Analysis Maintain audit activity reports and track trends and patterns. Share findings with departments and leadership to support process improvement. Additional Responsibilities Assist HIM with RAC requests, coding reviews, and denials. Maintain productivity standards and achieve 95% or greater accuracy. Attend required orientations, meetings, and continuing education. Follow confidentiality, compliance, and hospital policies. Perform other related duties as assigned. Additional Skills & Qualifications CPC Knowledge of ICDu201110u2011CM, CPT, and HCPCS coding systems Familiarity with Medicare, Medicaid, and commercial payer guidelines Understanding of charge capture, billing audits, and revenue integrity processes Strong analytical, organizational, and problemu2011solving skills Ability to communicate effectively with clinical and nonu2011clinical staff Attention to detail with a strong focus on accuracy and compliance Experience: Senior Level Coding experience in an acute hospital setting required, with coding ability demonstrated via a skills assessment or a RN with extensive experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background . Experience with health information systems and computer technology required. Ability to communicate effectively, both verbally and written format. Must be able to work independently with attention to detail and accuracy RECENT EXPERIENCE IN A HOSPITAL IS WHAT HE IS LOOKING FOR - someone who is familiar with a variety of departments within the hospital. would love a very seasoned coder ability to interact with people - do analysis - find trends and issues really wants someone with OUTPATIENT coding experience. Job Type & Location This is a Contract to Hire position based out of Chesapeake, VA. Pay and Benefits The pay range for this position is $40.00 - $42.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: u2022 Medical, dental & vision u2022 Critical Illness, Accident, and Hospital u2022 401(k) Retirement Plan u2013 Pre-tax and Roth post-tax contributions available u2022 Life Insurance (Voluntary Life & AD&D for the employee and dependents) u2022 Short and long-term disability u2022 Health Spending Account (HSA) u2022 Transportation benefits u2022 Employee Assistance Program u2022 Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Chesapeake,VA. Application Deadline This position is anticipated to close on Apr 1, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services Weu2019re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Weu2019re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Weu2019re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Weu2019re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at . 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.

Created: 2026-03-23