Remote Senior Revenue Integrity Lead | Epic/CDM Expert

essentiahealth; Duluth (MN); Remote; USD 63,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with employer contributions

Tuition reimbursement

Flexible scheduling

Generous time off

Job summary

Essentia Health is hiring a Senior Revenue Integrity Analyst to act as the enterprise SME for charge configuration, Epic build integrity, and chargemaster governance. The role ensures foundational accuracy of charge build within Epic, including CPT/HCPCS, revenue code mapping, pricing, and GL linkage, while mitigating denials and compliance risk.

You will collaborate with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to drive standardized charge

Qualifications

• Epic Resolute experience (HB/PB) required.
• 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance.
• Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance.

Responsibilities

• Lead EPIC (HB/PB) charge build, CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services.
• Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy.
• Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup.
• Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk.
• Promote alignment with Epic Foundation principles and Epic Gold Standard workflows.
• Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges.
• Implement systemic corrections to prevent recurring issues.
• Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders.
• Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions.
• Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives.

Skills

Epic Resolute HB/PB experience

Revenue Integrity

CPT/HCPCS knowledge

Education

Bachelor’s degree in a related field

Job description

Essentia Health is hiring a Senior Revenue Integrity Analyst to act as the enterprise SME for charge configuration, Epic build integrity, and chargemaster governance. The role ensures foundational accuracy of charge build within Epic, including CPT/HCPCS, revenue code mapping, pricing, and GL linkage, while mitigating denials and compliance risk.

You will collaborate with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to drive standardized charge