Remote Revenue Integrity Service Line Analyst

The Wilshire Group; United States; Remote; USD 103,000 - 124,000; Full time

Job summary

The Wilshire Group is actively seeking three Revenue Integrity Service Line Analysts to support revenue integrity initiatives in a fully remote consulting environment. You will collaborate with physicians, clinical, operational, finance, compliance, coding, IT, and revenue cycle teams to improve accurate and compliant revenue capture.

Ideal candidates bring strong Epic and chargemaster experience and can review end-to-end workflows, identify revenue opportunities, and implement practical,

Qualifications

• Advanced knowledge of hospital and professional revenue cycle operations.
• Strong Epic revenue cycle experience with chargemaster/CDM management.
• Ability to evaluate clinical and revenue cycle workflows across service lines and turn findings into practical recommendations.

Responsibilities

• Serve as a Revenue Integrity resource for assigned clinical service lines and partner with stakeholders.
• Review the relationship between the chargemaster (CDM), clinical workflows, Epic configuration, charge capture logic, and downstream billing processes.
• Maintain Epic chargemaster content within assigned areas and apply knowledge of charge capture, charge router logic, billing workflows, reimbursement, Epic revenue cycle functionality.
• Perform end-to-end assessments of scheduling, documentation, charge capture, billing, reimbursement, and payment workflows to identify opportunities for improvement.
• Identify root causes of missed, inaccurate, or incomplete charges and implement corrective actions.
• Work with business and technical teams to improve workflows, system configuration, and charge capture processes, including increasing automation.
• Analyze operational, financial, and utilization data to identify trends and revenue opportunities.
• Monitor implemented changes and measure results to confirm improvements.
• Support or lead Revenue Integrity assessments for new clinical programs, technologies, and service lines.
• Maintain knowledge of regulations and payer requirements in CPT, HCPCS, ICD-10-CM/PCS, and Medicare guidance.

Skills

Revenue cycle operations

Epic experience

Workflow evaluation

Analytical skills

Project management

Communication

Education

Bachelor degree or equivalent in Healthcare Admin / Business / Finance

Tools

Epic CDM

Charge router

Job description

The Wilshire Group is actively seeking three Revenue Integrity Service Line Analysts to support revenue integrity initiatives in a fully remote consulting environment. You will collaborate with physicians, clinical, operational, finance, compliance, coding, IT, and revenue cycle teams to improve accurate and compliant revenue capture.

Ideal candidates bring strong Epic and chargemaster experience and can review end-to-end workflows, identify revenue opportunities, and implement practical,