Revenue Integrity Specialist
Job in
Boston, Suffolk County, Massachusetts, 02298, USA
Listed on 2026-10-18
Listing for:
Top Prospect Group
Full Time
position Listed on 2026-10-18
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below
Revenue Integrity Specialist (Professional Billing)
Position Overview
Serves as a Charge Generation Tracker (CGT) and regulatory resource to ensure compliance with coding and billing guidelines. Acts as a primary resource for providers and staff, supporting revenue integrity, charge capture, and coding accuracy.
Position Details- Location:
Worcester, MA (Primarily Remote)* - Monthly onsite presence is required.
- Schedule:
Monday - Friday, 8:00 AM - 5:00 PM - Employment Type:
Full-Time, Exempt
- Ensure Charge Generation Tracker (CGT) compliance with regulatory and coding guidelines
- Review billing edits and route for resolution
- Provide coding and billing guidance to clinical and administrative teams
- Analyze data to identify revenue integrity opportunities
- Collaborate with departments to optimize charge capture workflows
- Develop and conduct training on coding and documentation
- Monitor CMS and payer updates and ensure compliance
- Perform audits to improve documentation and coding accuracy
- Support reporting, benchmarking, and performance analysis
- Required:
Associate's degree - Certified Professional Coder (CPC)
- EPIC Ambulatory certification within 12 months
- 3-5 years of professional billing and coding experience
- Strong knowledge of CPT/HCPCS and payer regulations
- Strong analytical and communication skills
- Proficiency in Microsoft Office #TPGHartford
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