REVENUE INTEGRITY ANALYST

Premier Health Partners; Dayton (OH); Remote; USD 85,000 - 110,000; Full time

Job summary

Premier Health Partners is seeking a Revenue Integrity Analyst to support the health system’s revenue cycle through analysis, optimization, and collaboration with cross-functional teams. The role emphasizes identifying leakage, denial trends, and improving charge capture and reimbursement processes.

Required are 3–5 years in healthcare reimbursement or related areas, a bachelor’s degree, and experience with CPT/HCPCS/ICD-10 and payer policies.

Qualifications

• Bachelor’s degree in Healthcare Admin, Finance, Business, or HIM preferred.
• 3–5 years of healthcare reimbursement, revenue integrity, or related experience.
• Experience with CPT, HCPCS, ICD-10, CMS reimbursement methodologies, and payer policies.
• Knowledge of hospital revenue cycle processes and charge capture workflows.
• Proficiency with Epic reporting, Excel, SQL, dashboards, and data analysis is preferred.

Responsibilities

• Analyze revenue cycle to identify leakage risks and denial trends.
• Support compliant charge capture and reimbursement optimization across the health system.
• Collaborate with clinical operations, finance, and payer teams.
• Monitor and optimize charging, coding, documentation, and workflows.

Skills

Analytical thinking

Financial analytics

Problem-solving

Communication with leadership

Education

Bachelor’s degree

Tools

Epic reporting

Excel

SQL

Dashboards

Job description

REVENUE INTERGRITY ANALYST / MANAGED CARE / REVENUE CYCLE

8AM T0 5PM / FULL TIME / 80 HOURS PER PAY PERIOD

FULLY REMOTE

The Revenue Integrity Analyst is responsible for supporting the financial and operational integrity of the health system’s revenue cycle through analysis, implementation, monitoring, and optimization of charging, coding, documentation, reimbursement, and payer operational workflows. This role serves as a liaison between clinical operations, finance, reimbursement, managed care, decision support, coding, CDI, patient access, and revenue cycle departments to ensure new services, procedures, devices, and technologies are operationalized effectively and reimbursed appropriately.

The position identifies revenue leakage risks, reimbursement vulnerabilities, operational inefficiencies, and denial trends while supporting compliant charge capture and revenue optimization initiatives across the health system.

Education

Minimum Level of Education Required: Bachelor's degree

Additional Requirements

• Type of degree: Bachelor’s Degree
• Area of study or major: Healthcare Administration, Finance, Business, Health Information Management or related field preferred.

Experience

Minimum Level of Experience Required: 3 - 5 years of job related experience

Prior job title or occupational experience: Health care reimbursement, financial analytics, revenue integrity, coding or chargemaster

Other experience requirements

Extensive knowledge various hospital reimbursement methodologies, APC, MS-DRG, APR-DRG, EAPG, case rate, etc.

• Knowledge of CPT, HCPCS, ICD-10, CMS reimbursement methodologies, and payer policies
• Understanding of hospital revenue cycle processes, operations, and charge capture workflows
• Strong analytical, financial, and problem-solving skills
• Experience with Epic reporting, Excel, SQL, dashboards, and data analysis preferred
• Ability to communicate effectively with operational, physician and executive leadership
• Ability to manage multiple projects and operational priorities simultaneously