Revenue Integrity Specialist
Medix
You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Data Integrity Specialist to serve as a gatekeeper for CGT updates, ensuring compliance with regulatory and coding billing guidelines. This role involves collaboration with clinical and ancillary departments and provides regulatory support to resolve billing questions.
Key Responsibilities
- Serve as a gatekeeper to ensure CGT updates comply with guidelines and reflect clinical practice.
- Collaborate with departments to facilitate proper use of CGT files and synchronize preference lists.
- Ensure system-wide compliance with regulations related to charge codes in the CGT.
- Review and route assigned edits within prescribed timeframes for resolution.
- Support and guide clinical staff to address CGT, coding, and billing questions.
- Utilize knowledge to interpret and analyze performance reports.
- Provide regulatory support to clinical charge capture specialists.
- CPC certification
- 3-5 years of experience in professional billing & coding
- Knowledge of CPT / HCPCS codes and reimbursement policies
- Working knowledge of Microsoft applications
- Previous experience in Obgyn
- Preferred: EPIC experience
- Must be local to MA area
- Technical: Proficient in MS applications; report creation and presentation
- Soft: Strong communication and analytical skills
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
Medix is an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
- ...Claim Center technical Lead with more than 6+ years of exerience to lead the team.Guidewire's UI (Screen configurations) & Rules and Integration development utilizing Guidewire Claim Center 10.0.1 and aboveRule writing using GOSU code.Development experience in Claim Center...Suggested
- ...design specialty innovations, smart instruments and devices, integrated ecosystems, and intelligent imaging—to build a more connected,... ...lives around the world.About the RoleWe are seeking a Purchasing Specialist to deliver procurement services across multiple KARL STORZ...SuggestedWork experience placementWorldwide
- ...Sunrise Detox – Recovery Specialist Sunrise Detox is a premiere center for drug and alcohol detox. Sunrise promises to give you one of... ...leave treatment. Job Description The Recovery Specialist is an integral member of the team with extensive patient contact. They provide...SuggestedHourly payFull timeWork at officeVisa sponsorshipShift workNight shiftRotating shift3 days per week
$20.5 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...associates, vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational...SuggestedLocal area- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and... ...associates, vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational...Suggested
- ...management solutions for the major Primes and Tier-1’s across the aerospace, defense, and shipbuilding sectors. By integrating our supplier specialists directly within supply chain networks, we deliver a level of oversight and engagement that surpasses conventional methods...Full timeWork at officeLocal areaFlexible hours
$22 - $29 per hour
...growing Retail Banking team! About the Job: Under the supervision of the Retail Banking Officer, the Banking Center Specialist plays an integral role in ensuring that an exceptional customer experience is achieved end-to-end in each banking interaction. Banking...Hourly payFull timeWork experience placementBank staffWork at officeLocal area- ...risks, recommending mitigation or countermeasures, and resolving integration issues related to the implementation of new systems within... ...best practices guides for use by other applications software specialists. Providing authoritative advice to other specialists in...
$62.5k - $76k
...JOB TITLE Enrollment Systems Specialist LOCATION Worcester DEPARTMENT NAME Enrollment Systems & Operations DIVISION... ...at the correct time. Build and maintain complex forms integrated with the CRM to collect information and documents from internal...$66k - $71k
...the Director of Enrollment Operations, the Enrollment Systems Specialist will play a central role in the administration and ongoing... ...technology infrastructure, with a primary focus on PowerFAIDS and its integrations with institutional systems. This position serves as the...Work at office- ...evaluation of initiatives by the NICU Development Team. Functions as a resource and consultant to the staff in the implementation and integration of developmental care. Participates in discharge planning and makes appropriate developmental follow-up referrals. Provides...Daily paidImmediate startShift workWeekend work
- ...and Star Market in Massachusetts is seeking an Asset Protection Specialist to help prevent loss and keep our stores secure for customers... ...role, communicate clearly, build relationships, and act with integrity. This position values safety first, teamwork, and a proactive...Local area
$100,000 - $130,000 per week
Integration AnalystTrelleborg leverages in-depth materials and applications expertise with early market insights, making the Group a world leader in engineered polymer solutions. We offer a unique portfolio covering a broad range of applications - even the most complex...Work at officeMonday to FridayNight shift3 days per week- ...piece of a larger narrative. Why You'll Adore Our Team and the City Surrounding You Join a dedicated imaging team that values integrity, mentorship, and collaboration. You won't simply have coworkers; you'll have fellow innovators who celebrate achievements, support...Local areaFlexible hoursWeekend workDay shiftAfternoon shift
- ...diagnostic imaging, work alongside a collaborative team of healthcare specialists, and offer reassurance to patients along their healthcare... ...assessments that may alter patient outcomes, your role is integral to a broader mission: delivering care with accuracy and compassion...Local areaRelocationFlexible hoursDay shift
$91.7k - $163.7k
...routing logic, decision support, and automation that ensure accurate authorization, documentation integrity, and timely patient accessPartner with clinical, operational, revenue cycle, and population health leaders to translate strategic goals into scalable Epic solutions...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work$30 per hour
...Program (OVIP): Oracle is proud to sponsor an internship and integration program that exposes transitioning military veterans and... ...innovations for our customers, partners, and communities. With annual revenue of US$57 billion in FY2025, Oracle is the world's largest EHR...Hourly payTemporary workWork experience placementInternshipWorldwideFlexible hours$19.5 - $20.5 per hour
Freight/Receiving | Home Depot Freight/Receiving Job Description Position Purpose: Associates in Freight/Receiving positions ensure the store is stocked and ready for business every day. They load and unload trucks, move material from the receiving area throughout...$16 - $18 per hour
...members on photo department operations and services to ensure adequate coverage and operational continuity during times when the Photo Specialist is not scheduled. Follows company policies, asset protection standards, and applicable regulatory requirements to help ensure a...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift- ...culture. * 20% Associate discount on all Ollie's purchases. * Vast array of voluntary benefits. Position Overview: The Retail Zone Specialist assists customers and helps to maintain the store appearance. The Retail Zone Specialist is responsible for all aspects of...Full timeImmediate startWeekend workAfternoon shift
$15 - $20 per hour
...Delivery Specialist Compensation Pay Range: $15.00 - $20.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours$53k - $56k
...Developmental Specialist Thom Child And Family Services Worcester, Massachusetts, United States About this position This position offers a salary range of $53,000 to $56,000. Are you looking for a rewarding opportunity working with the pediatric population (children birth...Temporary workWork experience placementWork from homeMonday to FridayFlexible hours$54.44k - $60.78k
...individuals have access to resources to support one another to overcome challenges and seize opportunities. Job Title: Youth and Family Specialist Pay Rate: $54,443 - $60,784 per year The pay range is the authorized pay for this position and is displayed only for jobs based...Permanent employmentLocal areaFlexible hours$15 - $20 per hour
...Delivery Specialist Compensation Pay Range: $15.00 - $20.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours- UMass Memorial Health is seeking a Registration Services Clerk to accurately enter demographic and insurance information, verify coverage, and schedule patient appointments. This role supports financial counseling and ensures timely data entry within the hospital registration...Afternoon shift
- First Realty Management in Worcester, MA seeks a full-time Leasing Consultant to support leasing activities, show units, process applications, and assist with resident services and retention. Under the Property Manager, you will conduct market research, create promotional...Full time
$22 per hour
...good in the lives of our customers. Guided by our core values of Integrity, Respect, Quality, Collaboration, Innovation, and Urgency, we... ...a highly motivated and detail-oriented Asset Protection Specialist to support our retail operations through loss prevention initiatives...Hourly payFull timeWork at office- Category : Human Resources Application Deadline: Ongoing until positions are filled. to apply, please visit the TP Careers site at About TP TP is a leading global provider of digital business services. We partner with the world's most prominent brands to...Ongoing contractLocal area
- ...Harbor Group Management Company is seeking a Leasing Specialist to drive occupancy and resident satisfaction in a multi-family community. You will show and lease apartments, coordinate marketing, and support the Property Manager to ensure a positive living experience...
- ...About the job Home-Based Reservation Specialist Home-Based Reservation Specialist Remote – United States Headquartered in Ephrata, PA Jones Express Travel Agency USA is seeking a Remote Travel Specialist to assist clients with planning and managing travel arrangements...Remote workWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Revenue Integrity Specialist. Be the first to apply!
- health specialist Worcester, MA
- information technology specialist Worcester, MA
- rehabilitation specialist Worcester, MA
- change management specialist Worcester, MA
- housing program specialist Worcester, MA
- equal employment specialist Worcester, MA
- cybersecurity specialist Worcester, MA
- patient safety specialist Worcester, MA
- qc specialist Worcester, MA
- facility management specialist Worcester, MA


