Revenue Integrity Billing and Coding Analyst
Boost your chances before you apply.
Community Medical Center
Falls City, NE, US
Summary
The analyst will resolve claim edits and pre-bill holds within the Epic system to prevent revenue leakage. They are also responsible for auditing clinical documentation for coding accuracy and collaborating with clinical teams to improve workflows.
Job Description
Responsive recruiter
Benefits:
- Retirement Plan
- Employee Assistance Program
- Long Term Disability
- Life Insurance
- Dental insurance
- Health insurance
- Paid time off
- Training & development
- Vision insurance
- Wellness resources
Community Medical Center is seeking a detail-oriented Revenue Integrity Billing & Coding Analyst to join our revenue cycle team. This position bridges the gap between clinical documentation, coding, and finance. You will analyze medical records, resolve complex claim edits using our Epic EHR system, and prevent revenue leakage while ensuring strict compliance with federal and payer regulations.While on-site (in-house) work is highly preferred, we will consider flexible hybrid or 100% remote arrangements for the right candidate. Due to state tax and operational requirements, all applicants must currently reside in the state of Nebraska to be considered for the hybrid or remote position.Core Responsibilities
- Epic Claim Edit Resolution: Analyze and resolve pre-bill holds, CCI edits, and medical necessity errors within the Epic billing system.
- Charge Capture & Auditing: Audit clinical documentation to ensure accurate CPT, HCPCS, and ICD-10 code assignment.
- Denial Management: Identify root causes of claim denials and collaborate with billing teams to implement corrective actions.
- Cross-Functional Collaboration: Partner with clinical departments to provide education on documentation improvements and charging workflows.
Qualifications & Requirements
- Residency: Must be a current resident of Nebraska (Required to be considered for the hybrid or remote position).
- Technical Skills: Proficiency with the Epic EHR platform is desired.
- Experience: Minimum of 3–5 years of experience in healthcare medical billing, coding, and revenue integrity.
- Certifications: Active credential from AAPC (e.g., CPC, COC) or AHIMA (e.g., CCS, RHIA, RHIT) is highly preferred but not required.
- Attributes: Deep understanding of Medicare/Medicaid reimbursement methodologies, strong analytical skills, and ability to work independently and effectively.
Compensation: $24.00 - $28.00 per hour
We are an equal opportunity employer and all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex,
national origin, disability status, protected veteran status, or any other
characteristic protected by law.
Our Mission: Your Health - our commitment to you, from day one. Our Vision: Building on our core strengths, Community Medical Center will be recognized regionally as a best-in-class healthcare organization.
Services and Specialties: Services at Community Medical Center include:
•24-hour, physician-staffed emergency department
•acute medical and surgical hospital
•adult intensive care
•pediatric intensive care
•obstetrics
•neonatal intensive care
•pediatrics
•laboratory services
•radiology services
•nuclear medicine
•respiratory therapy
•Joint Reconstruction Center
•The Montana Heart Center
•The Breast Center at Community
•Community Rehabilitation Center
•First Care (two facilities)
•primary care and specialty physicians
Community Medical Center is the only facility providing obstetrical and newborn care in Missoula County. In addition, it is one of only three facilities in the state offering high-risk obstetrical care and neonatal intensive care. It is a referral center, receiving mothers and infants from throughout western Montana and Idaho. Maternal and neonatal emergency transport services are available.
Community Medical Center is the only hospital in western Montana that has a separate Pediatric Intensive Care Unit for kids.
Community Medical Center's Rehabilitation Center is the largest, most comprehensive and longest-standing program of its kind in the state of Montana. It is noted for its brain and spinal cord injury, as well as stroke and orthopedic rehab programs. It includes a residential and transitional living and day treatment program for brain injury survivors.
Beds: Community Medical Center is licensed for 146 acute-care beds, which includes:
•Medical/Surgical
•Medical/Surgical - Pediatric
•Obstetrics
•ICCU
•ICCU - Pediatric
•Neonate ICU
•Rehabilitation
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Missoula, MT
Our Mission: Your Health - our commitment to you, from day one. Our Vision: Building on our core strengths, Community Medical Center will be recognized regionally as a best-in-class healthcare organization.
Services and Specialties: Services at Community Medical Center include:
•24-hour, physician-staffed emergency department
•acute medical and surgical hospital
•adult intensive care
•pediatric intensive care
•obstetrics
•neonatal intensive care
•pediatrics
•laboratory services
•radiology services
•nuclear medicine
•respiratory therapy
•Joint Reconstruction Center
•The Montana Heart Center
•The Breast Center at Community
•Community Rehabilitation Center
•First Care (two facilities)
•primary care and specialty physicians
Community Medical Center is the only facility providing obstetrical and newborn care in Missoula County. In addition, it is one of only three facilities in the state offering high-risk obstetrical care and neonatal intensive care. It is a referral center, receiving mothers and infants from throughout western Montana and Idaho. Maternal and neonatal emergency transport services are available.
Community Medical Center is the only hospital in western Montana that has a separate Pediatric Intensive Care Unit for kids.
Community Medical Center's Rehabilitation Center is the largest, most comprehensive and longest-standing program of its kind in the state of Montana. It is noted for its brain and spinal cord injury, as well as stroke and orthopedic rehab programs. It includes a residential and transitional living and day treatment program for brain injury survivors.
Beds: Community Medical Center is licensed for 146 acute-care beds, which includes:
•Medical/Surgical
•Medical/Surgical - Pediatric
•Obstetrics
•ICCU
•ICCU - Pediatric
•Neonate ICU
•Rehabilitation
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Missoula, MT