Remote Revenue Integrity & Analytics Supervisor

UnitedHealth Group; Las Vegas (NV); Hybrid; Confidential; Full time

Job summary

UnitedHealth Group is seeking a Revenue Integrity Supervisor to oversee West region revenue integrity processes, ensuring accurate reimbursement and pricing. This role supports charge capture, chargemaster updates, and cross-functional collaboration with coding and clinical teams.

The position allows remote work from anywhere in the U.S. with office presence required in Las Vegas at least twice monthly; standard PST hours apply. Strong analytics and communication skills are essential.

Qualifications

• 2+ years of experience in Healthcare Revenue Cycle Operations including revenue integrity, reimbursement methodologies, denials, and process improvement
• 2+ years of experience in advanced analytics, delivering actionable insights from data, databases, and big data analytics environments
• Working knowledge of medical coding (ICD, CPT, HCPCS)
• Exposure to healthcare data from multiple sources: Payor claims processing, EDI, EHR
• Experience in working with multi-disciplinary teams and varying levels of leadership
• Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process
• Intermediate proficiency with Microsoft products such as Excel, PowerPoint, Word, Project
• Solid problem-solving, critical thinking, and analytical skills
• Demonstrated comprehension of complex clinical and revenue integrated systems and processes
• Solid & efficient communication and customer service skills

Responsibilities

• Supervises daily revenue integrity operations, including payer payment and pricing applications, charge control processes, system updates
• Maintains the chargemaster and fee schedules for West Region; completes annual and quarterly updates; documents approved changes; and coordinates annual CDM CPT/HCPCS updates
• Monitors charge-capture controls, including revenue reconciliation, change management, and supports departmental accountability for complete and accurate charges
• Reviews, works, and resolves Epic charge-related work queues and billing edits accurately and within established turnaround times
• Partners with Coding and clinical departments to identify and correct charge, billing, documentation, and coding errors in accordance with ICD, CPT, HCPCS, payer, and National Correct Coding Initiative requirements
• Serves as the primary service-line resource for charge-related questions, charge-code use, payer coverage, and payment requirements
• Identifies opportunities to optimize practice management and revenue cycle technology, integrate business intelligence tools, automate manual processes, and standardize reporting across the West
• Analyzes, validates, and distributes KPI dashboards, quality-control reports, monthly operational reports, and ad hoc analyses for Revenue Cycle, Finance, Clinical Operations, and other stakeholders
• Analyzes charges, payments, denials, and reimbursement trends to identify revenue gaps, short payments, noncompliance, and opportunities to accelerate collections and prevent revenue loss
• Conducts routine claim and chargemaster reviews, coordinates complex denials and payer audits, and escalates or troubleshoots claim and reimbursement issues with payers
• Monitors Medicare, Medicaid, and commercial payer guidance and medical policies; evaluates operational and financial impacts; and implement approved compliance changes with Revenue Integrity and operational leaders
• Meets with operational leaders to review revenue cycle metrics, identify trends and issues, and develop interim and long-term improvement plans
• Supports payer contract configuration in practice management systems and monitors payments against contractual terms to identify reimbursement variances
• Participates in revenue cycle improvement initiatives and completes other duties or projects that support organizational goals

Skills

Revenue cycle operations

Advanced analytics

Medical coding (ICD, CPT, HCPCS)

Healthcare data sources

Cross-functional collaboration

Payer requirements

Microsoft Office

Problem-solving

Healthcare systems understanding

Communication

Tools

Excel

PowerPoint

Word

Project

Job description

UnitedHealth Group is seeking a Revenue Integrity Supervisor to oversee West region revenue integrity processes, ensuring accurate reimbursement and pricing. This role supports charge capture, chargemaster updates, and cross-functional collaboration with coding and clinical teams.

The position allows remote work from anywhere in the U.S. with office presence required in Las Vegas at least twice monthly; standard PST hours apply. Strong analytics and communication skills are essential.