Revenue Integrity Analyst

Planet Group; Silver Springs (NV); Hybrid; USD 75,000 - 85,000; Full time

Job summary

Planet Group is seeking a Revenue Integrity Analyst for a full-time, hybrid role in Maryland. This position focuses on managing the charge master to ensure accurate hospital services, procedures, and charges while meeting regulatory requirements.

You will work with clinical and billing teams, support the Epic transition, and provide training on charge capture and coding practices. The role requires 3+ years of experience in charge capture in a hospital setting.

Qualifications

• Associate degree or equivalent healthcare experience.
• 3+ years in charge capture, coding, or charge description master management in a hospital.

Responsibilities

• Maintain and update the charge master system to ensure completeness and accuracy.
• Provide guidance and education on charge capture, coding, and billing practices to departments.
• Analyze data and conduct quarterly charge master reviews to optimize revenue.
• Collaborate with clinical teams to ensure correct charge descriptions.
• Monitor charge volumes, resolve code errors, and investigate discrepancies.
• Support transition to Epic by assisting with training and process changes.
• Maintain policies related to charge master management and revenue capture.
• Serve as a resource for coding questions and staff training.

Skills

Charge capture

Coding

Charge master management

CMS regulations

Education

Associate degree

Tools

Cerner

Epic

Job description

Our client is looking to hire a Revenue Integrity Analyst for a full time perm role, located as a hybrid position in MD.

On Site: Tues & Wed (onsite) Mon, Thurs & Fri (hybrid) 8:30-5p - Located near Takoma Park, Kensington, Wheaton, Chevy Chase, and Bethesda

Salary: $ 75,000 -$85,000 k (depending on years of experience)

As a Revenue Integrity Analyst, you'll be the expert in managing and maintaining the charge master system--crucial for accurately capturing hospital services and procedures. You'll apply your technical skills and healthcare knowledge to support revenue integrity, compliance, and process improvements, working closely with a dynamic team dedicated to operational excellence.

Key Responsibilities:

• Maintain and update the charge master system, ensuring all hospital services, procedures, and charges are complete, accurate, and compliant.
• Provide guidance, education, and support to clinical and administrative departments on charge capture, coding, and billing practices.
• Analyze internal data and conduct quarterly reviews of the charge master to optimize hospital revenue.
• Collaborate with clinical teams to ensure the correctness and completeness of charge descriptions.
• Monitor charge volumes, resolve code errors, and investigate discrepancies impacting billing and revenue.
• Support the transition to Epic by assisting with system training and process adjustments.
• Maintain policies and procedures related to charge master management, coding, and revenue capture.
• Serve as a resource for coding questions, providing training to staff and ensuring regulatory compliance.
• Build strong relationships with various departments--including information services, billing, and clinical teams--to support seamless revenue operations.

Must-Have Qualifications:

• Associate's Degree (healthcare-related field preferred) or equivalent work experience
• 3+ years of experience in charge capture, coding, or charge description master management within a hospital environment
• Strong knowledge of CPT codes, HCPCS, revenue codes, and CMS regulations
• Excellent Excel skills, including data analysis and advanced functions
• Understanding of charge routing, radiology, and supply billing, with some familiarity with Cerner or Epic systems being a plus

Nice-to-Have Skills:

• Experience in a transitioning hospital environment (e.g., moving to Epic)
• Epic certification or knowledge of Epic workflows (training provided)

Compensation & Benefits:

Salary range: $75,000-$85,000 annually (specifics depend on experience)

This is your chance to be a critical part of a forward-thinking team, working to improve healthcare revenue processes, supporting clinical excellence, and growing your expertise in revenue cycle management.