RI Specialist Radiology PB

Revenue Integrity Specialist Radiology

Remote Role (Must reside in Florida or Maryland)

Contract-to-Hire, 6 months

Compensation: $28 - $36 per hour

About The Role

Our client is seeking an experienced Revenue Integrity Specialist to support revenue integrity initiatives within a high-volume Radiology service line. This remote position is open to candidates residing in Florida or Maryland and is a 6-month contract-to-hire opportunity. The specialist will be responsible for identifying revenue opportunities, analyzing financial and operational data, conducting targeted and random audits, and partnering with internal and external teams to resolve issues impacting revenue cycle performance. The ideal candidate is analytical, self-directed, and able to hit the ground runningidentifying trends and outliers, investigating root causes, and driving issues through to resolution. Experience in high-volume ancillary environments, particularly Radiology or Laboratory, is highly valued.

What You'll Do

• Support revenue integrity initiatives with a primary focus on Radiology and other ancillary clinical service lines
• Identify opportunities related to charge capture, coding, denials, patient access, authorization, and revenue leakage
• Monitor KPIs, work queues (including Revenue Guardian), and performance metrics to identify trends, outliers, and potential areas of concern
• Pull reports and data from Epic, export information into Excel, and manipulate large datasets to identify trends and opportunities
• Conduct detailed research and analysis to determine the root cause of revenue cycle issues and recommend solutions
• Perform both targeted and random audits related to coding, charging, denials, and revenue integrity
• Analyze patient access and authorization data to identify opportunities for improvement
• Partner with coding, denials, patient access, and external vendor/partner teams to research and resolve issues
• Take ownership of identified issues from initial investigation through solution implementation and resolution
• Develop and maintain reporting to track trends, identify recurring issues, and measure the impact of revenue integrity initiatives
• Support research and analysis related to new or emerging revenue integrity opportunities
• Collaborate with other Revenue Integrity Specialists who support individual clinical service lines

What You Bring

• Bachelor's degree required; relevant experience may supplement education
• 510 years of Revenue Integrity experience preferred
• Strong experience with Epic and revenue cycle systems
• Advanced Microsoft Excel skills, including VLOOKUP/XLOOKUP, pivot tables, advanced formulas, data manipulation, and trend reporting
• Strong understanding of revenue cycle processes, including charge capture, coding, denials, and patient access/authorization
• Strong analytical, research, and problem-solving skills
• Ability to independently identify issues, investigate root causes, and develop solutions
• AAPC or AHIMA coding certification required
• Experience supporting Radiology, Laboratory, or other ancillary service lines
• Experience with Power BI and data visualization (preferred)
• Experience working with external vendors or revenue cycle partners (preferred)
• Healthcare revenue integrity, hospital revenue cycle, or clinical coding experience (preferred)
• Must reside in Florida or Maryland