Revenue Integrity Analyst

Integrated Revenue Integrity, Inc.; Sturbridge (MA); Remote; USD 75,000 - 105,000; Full time

Job summary

Integrated Revenue Integrity, Inc. is seeking a Revenue Integrity Analyst to support client engagements focused on optimizing charge capture, coding accuracy, regulatory compliance, and revenue performance across hospital and provider organizations.

The role requires strong analytical skills, attention to detail, and a deep understanding of healthcare billing and reimbursement. You will perform audits, review records, address denials, and help clients improve documentation and coding practices

Qualifications

• 5 years of experience in hospital revenue cycle (billing/reimbursement/coding/auditing).
• 1+ years of coding experience and certification (e.g., CPC, COC, CCS).
• Knowledge of CPT/HCPCS codes, revenue codes, modifiers, NCCI edits.
• Experience with hospital EHR systems (EPIC, Meditech, Cerner, CPSI).
• Understanding of CMS, HIPAA, Stark Law, and Anti-kickback Statutes.
• Strong communication and interpersonal skills.
• Proficiency with Word, Excel, and PowerPoint.

Responsibilities

• Charge capture audits to ensure all billable services are documented and charged.
• Review medical records and claims for accurate CPT/HCPCS coding.
• Investigate claim denials and identify root causes for corrective action.
• Collaborate with clients to improve documentation accuracy and coding.
• Analyze and resolve NCCI edits and billing denials.
• Review CDM charge builds for appropriate coding.
• Monitor regulatory updates and ensure compliance.
• Respond to client questions on billing, coding and reimbursement.
• Pursue ongoing education via webinars and courses.

Skills

Revenue cycle

Charge capture

Coding accuracy

Regulatory compliance

CMS/HIPAA knowledge

Communication

Microsoft Office

Education

Bachelor’s degree in Healthcare Management, Business, or Finance

Tools

EPIC

Meditech

Cerner

CPSI

Job description

# Revenue Integrity Analyst| | | | || --- | --- | --- | --- || **Job Title:** | Revenue Integrity Analyst | **Location:** | Remote || **Contact:** | in\*\*@\*\*\*\*\*\*\*\*\*\*ri.com | **Date Posted:** | 01/29/2026 || **Company Address:** | 120 Charlton Road, STE 2 1032, Sturbridge, MA 01566 | | || **Company Website:** | | | || **Salary Range:** | $75,000 – $105,000 annually, commensurate with experience, certifications, and demonstrated revenue integrity expertise | | || **Job Description** | | | || **R****OLE AND R****ESPONSIBILITIES** Working under the direction of an IRI Principal, the Revenue Integrity Analyst will support client engagements focused on optimizing charge capture, coding accuracy, regulatory compliance, and revenue performance across hospital and provider organizations. This role requires a keen eye for detail, strong analytical skills, and a deep understanding of healthcare billing and reimbursement regulations. Tasks may include, but are not limited to: · Charge Capture Validation: Perform revenue integrity audits including verifying the accuracy and completeness of charge capture to ensure all billable services are appropriately documented and charged. · Coding Review: Review medical records, claims, and billing data to ensure accurate coding practices according to industry standards (e.g., ICD-10-CM, CPT, HCPCS, etc.) and compliance regulations. · Denial Management: Investigate and resolve claim denials by identifying root causes, suggesting possible corrective action improvements. · Documentation Improvement: collaborate with clients to improve documentation accuracy and completeness which directly impact coding accuracy and revenue capture. · Billing: Analyzing and resolving NCCI billing edits and denials or client work queues · Reviewing charge builds in the Charge Description Master (CDM) to determine appropriateness of coding assignments. · Reviewing regulatory and compliance updates · Answering client questions related to billing, coding, reimbursement, compliance, and related topics. · Maintaining ongoing education and training via webinars, seminars, courses, and other on-the-job training as needed **C****OMPETENCIES** · Requires critical thinking skills, decisive judgement, and the ability to work with minimal supervision in a remote environment. · Ability to multi-task and meet deadlines with effective time management skills. · Maintains high performance standards and personal integrity of job performance. · Strong interpersonal verbal and written communication skills, effectively presenting information to management, groups, and individuals. **MINIMUM Q****UALIFICATIONS AND E****DUCATION R****EQUIREMENTS** · 5 years of experience in hospital revenue cycle (billing/reimbursement/coding/auditing) · 1+ years of coding experience and certification (e.g., CPC, COC, CCS) · Knowledge of guidelines related to CPT/HCPCS codes, revenue codes, modifiers, NCCI edits, chargeable services, etc. · Experience with hospital EHR systems (e.g., EPIC, Meditech, Cerner, CPSI) · Working knowledge of payer policies and claim billing · Strong understanding of healthcare regulatory requirements such as CMS, HIPAA, Stark Law, and Anti-kickback Statutes · Effective communication and interpersonal skills to collaborate with diverse stakeholders · Experience with Microsoft applications including Word, Excel, and PowerPoint **P****REFERRED** **QUALIFICATIONS** · Bachelor’s degree in Healthcare Management, Business, or Finance · 7-10 years of experience in hospital revenue cycle · Prior experience as a Revenue Integrity Analyst | | | |**Job Category:** Analyst**Job Location:** Remote## Apply for this position