Revenue Integrity Analyst

Aspire Rural Health System; Cass City (MI); On-site; USD 65,000 - 80,000; Full time

Job summary

A healthcare provider in Michigan seeks a full-time Revenue Integrity Analyst to ensure accurate charge capture and coding integrity for its facilities. The role involves supporting the financial performance of a Critical Access Hospital system and requires strong knowledge of Medicare/Medicaid billing. Candidates should have a Bachelor’s degree in a related field and 3–5 years of experience in revenue integrity or coding. This position offers comprehensive benefits and opportunities for professional growth.

Qualifications

• 3–5 years of experience in Revenue Integrity, Coding, or Charge Capture.
• Strong knowledge of Medicare/Medicaid billing rules and CAH billing environments.
• Ability to interpret clinical workflows and translate them into charging processes.

Responsibilities

• Support financial performance of Critical Access Hospital system.
• Ensure accurate charge capture and coding integrity.
• Identify workflow gaps and recommend solutions.

Skills

Revenue Integrity

Coding

Charge Capture

Analytical skills

Problem-solving

Troubleshooting

Education

Bachelor’s degree in Health Information Management or related field

Tools

Epic Resolute HB and PB

Job description

Overview

Position: Revenue Integrity Analyst. Department: Patient Accounting. Location: Cass City, MI (travel to all Aspire locations required). Hours: Full-Time. Days. Full Benefits. Aspire Rural Health Systems is seeking a full-time Revenue Integrity Analyst to join a dedicated team of healthcare professionals focused on providing high-quality patient services.

Responsibilities

The Epic HB & PB Revenue Integrity Analyst supports the financial performance of a three-facility Critical Access Hospital (CAH) system by ensuring accurate, compliant, and optimized charge capture, coding integrity, workflow design, and revenue cycle processes within Epic. This role serves as a liaison between clinical operations, revenue cycle teams, coding, billing, and IT to identify workflow gaps, recommend solutions, and maintain charge integrity across both hospital billing (HB) and professional billing (PB) environments. The Analyst plays a key role in monitoring charging accuracy, resolving systemic issues, creating and maintaining Epic build related to charging and workflows, and supporting regulatory and reimbursement requirements specific to CAH environments (Method II billing, cost-based reimbursement, modifier usage, and CAH-specific charging rules).

Requirements

• Bachelor’s degree in Health Information Management, Business, Finance, Healthcare Administration, IT, or related field; or equivalent experience.
• 3–5 years of experience in Revenue Integrity, Coding, Charge Capture, or Epic Revenue Cycle.
• Strong knowledge of Epic Resolute HB and PB functionality.
• Understanding of Medicare/Medicaid billing rules, CAH billing environments, revenue codes, CPT/HCPCS, and modifiers.
• Ability to interpret clinical workflows and translate them into charging processes.
• Strong analytical, problem-solving, and troubleshooting skills.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.