Job Title:  Documentation Integrity Analyst

Hourly/Salary Compensation Range:  $30-35

Contract Length: 6 months

Location:  Remote

Hours:  8-4:30 CT

Start Date:  10/26/26

Responsibilities:

Specialized medical-record and coverage review

Perform second-level, pre-service review of vascular and other assigned high-risk cases against applicable Medicare and commercial payer policies, NCDs, LCDs, coding requirements, and regulatory and audit expectations. Validate that the physician order, progress notes, and supporting clinical documentation are complete, consistent, and sufficient to establish medical necessity.

Documentation-deficiency identification and case disposition

Identify missing, incomplete, inconsistent, or unsupported documentation and determine the appropriate next step in accordance with established workflows. Escalate cases that do not support coverage requirements and facilitate appropriate resolution prior to service or billing whenever possible.

Provider outreach and documentation follow-up

Coordinate with ordering providers and their offices to obtain missing medical records, clarify documentation, and support timely resolution of cases requiring additional information.

Cross-functional case resolution

Collaborate with clinical operations, Coding, Billing, HIM, Revenue Integrity, Compliance, and other stakeholders to resolve complex cases, clarify regulatory or payer requirements, and address recurring documentation or coverage concerns.

Review tracking and audit documentation

Maintain accurate records of cases reviewed, identified deficiencies, provider outreach, determinations, outcomes, turnaround times, corrective actions, and recurring areas of risk.

Reporting and trend analysis

Analyze and summarize review findings, documentation trends, audit risks, and workflow outcomes.

Regulatory and payer-policy monitoring

Monitor changes in Medicare regulations, payer policies, NCDs, LCDs, and applicable coding or documentation requirements. Incorporate relevant changes into review criteria, workflows, and reference materials.

Education and process improvement

Develop and maintain vascular-specific and other assigned clinical reference materials, documentation guidance, educational resources, and standardized workflows.

Qualifications

Education/Licences/Certifications:

RHIA, RHIT, CCS-P, CCS, CPS, or CPC: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), Certified Professional Coder (CPC), or Certified Professional Services Coder (CPS); up to 10 years of directly related professional experience may be considered in lieu of the stated licenses/certification requirements.

Associates Required, Bachelors Preferred.

2 years experience in Revenue Cycle required