Revenue Integrity Review Specialist

Posted 5 Hours Ago
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Hiring Remotely in United States
Remote
Mid level
Healthtech • Payments • Software
Waystar provides market-leading technology that simplifies and unifies healthcare payments.
The Role
Conduct thorough clinical record reviews to identify documentation and revenue-cycle improvements, write clinical documentation queries, maintain productivity, align with client expectations, collaborate with internal teams, and cross-train as needed to support optimal site performance.
Summary Generated by Built In

ABOUT THIS POSITION

The Revenue Integrity Specialist position is responsible for following procedures to make corrections to client data. This position may also require cross training of services and tasks to ensure effective collaborative efforts are made between teams and departments when needed. We are seeking an individual that has strong critical thinking and problem-solving skills. Strong critical thinking and problem solving skills.

WHAT YOU'LL DO

  • What you’ll do: 

    Client Education and Success: 

    • Conduct thorough record reviews to identify opportunities for best practice process improvement. 

    • Perform reviews with sound judgment. 

    • Demonstrate proficiency in writing effective clinical documentation queries. 

    • Maintain a high level of productivity. 

    • Ensure alignment with customer expectations. 

    • Collaborate with internal teams, providing feedback from record reviews to support optimal site performance and best practice improvement.  

     

WHAT YOU'LL NEED

Qualifications We Seek: 

 

Required: 

  • Bachelor’s Degree in Nursing or equivalent in Health Information Management  

  • A minimum of 3-5 years of experience in a Clinical Documentation Integrity (CDI) role. 

  • Certification as a Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS). 

  • Proficient in Microsoft Excel  

 

Preferred: 

  • Knowledge of medical record coding, healthcare billing, and revenue cycle management. 

  • 5+ years of clinical experience in an acute care setting.  

  • Certified Coding Specialist (CCS). 

  • Ability to travel for department and company meetings. 

 

Key Attributes: 

  • Exceptional critical thinking skills. 

  • Highly organized, with superb attention to detail and an absolute focus on quality. 

  • A motivated, autonomous self-starter who thrives in a remote environment. 

  • Strong team player mentality, dedicated to achieving the best outcomes for both our clients and the business. 

ABOUT WAYSTAR

Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.

Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers.  We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.

Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow @Waystar on Twitter.  

WAYSTAR PERKS

  • Competitive total rewards (base salary + bonus, if applicable)
  • Customizable benefits package (3 medical plans with Health Saving Account company match)
  • We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
  • Paid parental leave (including maternity + paternity leave)
  • Education assistance opportunities and free LinkedIn Learning access
  • Free mental health and family planning programs, including adoption assistance and fertility support
  • 401(K) program with company match
  • Pet insurance
  • Employee resource groups

Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Skills Required

  • Bachelor's Degree in Nursing or equivalent in Health Information Management
  • 3-5 years of experience in a Clinical Documentation Integrity (CDI) role
  • Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS)
  • Proficient in Microsoft Excel
  • Knowledge of medical record coding, healthcare billing, and revenue cycle management
  • 5+ years of clinical experience in an acute care setting
  • Certified Coding Specialist (CCS)
  • Ability to travel for department and company meetings
  • Strong critical thinking and problem-solving skills
  • Highly organized with superb attention to detail and quality focus
  • Motivated, autonomous self-starter who thrives in a remote environment
  • Strong team player mentality dedicated to client and business outcomes
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The Company
HQ: Louisville, KY
1,757 Employees
Year Founded: 2017

What We Do

Waystar harnesses the power of agentic AI, generative AI, and advanced automation to drive meaningful outcomes so providers reach peak financial performance and patients receive care with confidence. The Waystar platform is used by more than 1 million providers and supports over 60% of the U.S. patient population - and integrates with all major HIS and practice management systems. The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare.

Why Work With Us

Our Waystar values serve as a compass to center our decisions, inspire action, and promote outstanding performance. We are dedicated to providing a diverse, inclusive workplace and fostering a shared sense of belonging.

Waystar Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Typical time on-site: 3 days a week
HQLouisville, KY
Atlanta, GA
Duluth, GA
Lehi
Learn more

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