Spira Care · 2 days ago
Revenue Integrity Analyst
Kansas City, MO
Full-time
Onsite
Mid Level
3+ years expSpira Care is committed to providing a best-in-class employee experience and is seeking a Revenue Integrity Analyst. This role ensures accurate documentation and coding practices to support high-quality patient care and compliance within a value-based care model.
DiabetesHealth CareHealth DiagnosticsHealth InsuranceHospitalMedicalRehabilitationWellness
Responsibilities
Manages revenue integrity support for physicians, Advanced Practice Providers (APPs) and other providers by providing education on documentation and coding to the highest level of service being rendered
Manages the complete revenue cycle for Spira Care Outpatient Services, which includes centralized functions such as coding, claims, and patient billing to improve efficiencies and ensure compliance
Ensures compliance by adhering to complex medical guidelines and payer rules
Collaborates across clinical operations and IT to ensure accurate and comprehensive clinical documentation that supports risk adjustment, quality performance, and value‑based reimbursement. Ensures documentation integrity by closing coding‑related gaps and maintains compliance within value‑based care models
Ensures accurate and compliant coding practices with emphasis on risk adjustment Hierarchical Condition Category (HCC), chronic condition management, and quality measure alignment
Partners with providers to improve documentation specificity and capture clinically relevant diagnoses that impact patient outcomes and value‑based performance
Provides education and feedback to providers on documentation best practices, risk score capture, documentation standards, and quality measure requirements to support accurate representation of patient complexity and care needs
Reviews coding, documentation, and quality performance data to identify trends, address deficiencies, and support accurate risk adjustment and quality reporting
Maintains adherence to compliance standards related to coding, documentation, risk adjustment, and quality programs. Ensures internal processes meet the expectations of value‑based programs
Supports internal and external audits related to documentation quality, HCC coding, and value‑based contract performance, working with providers and teams to implement corrective action plans when needed
Analyzes and ensures code drops are correct for all services rendered
Qualification
Required
High school diploma or equivalent (GED or HiSET)
Successful completion of a certified medical coding or auditing course and exam
CPC – Certified Professional Coder
CPMA - Certified Professional Medical Auditor
3-5 years of experience as a coder
Requires travel to all Spira Care areas (as needed)
Excellent interpersonal and communication skills
Solid computer skills, including proficiency with Microsoft software
Strong analytical and problem-solving skills
Detail-oriented
Preferred
Bachelor's degree in healthcare related field
CRC – Certified Risk Coder
Benefits
Comprehensive medical, dental and vision benefits
401(k) plan that both the employee and employer contribute
Annual incentive bonus plan based on company achievement of goals
Paid holidays
Paid time off
Volunteer time off
Professional development courses
Mentorship opportunities
Tuition reimbursement program
Paid parental leave
Adoption leave with adoption financial assistance
Employee discount program
Company
Spira Care
Spira Care provides primary, medical, and wellness care services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Jennifer Thierer
Operations and Partner Readiness Lead
Recent News
2025-09-19
Seattle TechFlash
2025-06-27
Kansas City Business Journal
2023-11-19
Company data provided by crunchbase