Revenue Integrity Analyst

Ascension Health; Milwaukee (WI); Híbrido; USD 65.000 - 121.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage

403(b) retirement plan

PTO and holidays

Tuition reimbursement

Descripción de la vacante

Ascension Health is seeking a Revenue Integrity Specialist in Milwaukee to optimize charge capture across Epic and Oracle Health/Cerner systems. You will lead education and actions to close revenue gaps and ensure compliant charging protocols in a complex healthcare environment.

In this hybrid role, you will collaborate with clinical and operational teams to maintain CDM structures, CPT/HCPCS codes, and revenue workflows for existing services and new initiatives, while translating CMS changes

Formación

• Heavy clinical background (RN or active clinical licensure) with mastery interpreting complex patient records, physician documentation, and clinical workflows to ensure charge-capture precision.
• Advanced system expertise and/or certifications in Epic or Oracle Health/Cerner EHR environments, with credentialing in HIM, coding, or revenue integrity (e.g., RHIA, CCS, CPC, CRCR, CHRI).

Responsabilidades

• Evaluate patient-care workflows from clinical service delivery through documentation, analyzing charge capture, billing data, denials, and KPIs to identify workflow gaps, root causes, and revenue leakage.
• Partner with clinical, operational, and CDM teams to develop, validate, and maintain CDM structures, CPT/HCPCS/revenue codes, and charge-capture workflows for existing services and new clinical initiatives.
• Direct multi-system revenue integrity operations across Epic and Oracle Health/Cerner applications, utilizing reporting tools and analytics platforms (Excel, Power BI, Tableau) to monitor performance and reimbursement impact.
• Translate CMS and regulatory changes into compliant charging protocols while managing revenue integrity projects, delivering targeted education, and implementing sustainable corrective action plans for clinical leadership.

Conocimientos

Clinical background

Charge capture analysis

Data analytics

Educación

Associate's or higher education

Herramientas

Epic EHR

Oracle Health/Cerner

Descripción del empleo

Your future role at a glance

• Location: Hybrid (Preferred location Milwaukee, Wisconsin)

• Department: Revenue Cycle Administration

• Schedule: Days | Full-Time

#LI-Remote

#InternalOps

How you’ll make an impact in this role

• Evaluate patient-care workflows from clinical service delivery through documentation, analyzing charge capture, billing data, denials, and KPIs to identify workflow gaps, root causes, and revenue leakage.

• Partner with clinical, operational, and CDM teams to develop, validate, and maintain Charge Description Master (CDM) structures, CPT/HCPCS/revenue codes, and charge-capture workflows for existing services and new clinical initiatives.

• Direct multi-system revenue integrity operations across Epic and Oracle Health/Cerner applications, utilizing reporting tools and analytics platforms (Excel, Power BI, Tableau) to monitor performance and reimbursement impact.

• Translate CMS and regulatory changes into compliant charging protocols while managing revenue integrity projects, delivering targeted education, and implementing sustainable corrective action plans for clinical leadership.

What minimum requirements you’ll need

Education:

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

Additional Information:

• Heavy clinical background (RN or active clinical licensure) with demonstrated mastery in interpreting complex patient records, physician documentation, and clinical workflows to ensure charge-capture precision.

• Advanced system expertise and/or certifications in Epic or Oracle Health/Cerner EHR environments, paired with credentialing in HIM, coding, or revenue integrity (e.g., RHIA, CCS, CPC, CRCR, or CHRI).

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options

• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance

• Time to recharge: pro-rated paid time off (PTO) and holidays

• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

• Family support: parental leave, adoption assistance and family benefits

• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf) poster.

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Min Salary: 65054.88

Max Salary 120911.16