REVENUE INTEGRITY ANALYST

PHP Staging Mobile Taleo; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

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 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

Qualifications

• Bachelor's degree required.
• Area of study preferred: Healthcare Administration, Finance, Business, Health Information Management or related field.

Responsibilities

• Support financial and operational integrity of revenue cycle through analysis, implementation, monitoring and optimization of charging, coding, documentation, reimbursement, and payer workflows.
• Identify revenue leakage risks and denial trends; support compliant charge capture and revenue optimization initiatives across the health system.
• Communicate with operational, physician and executive leadership; manage multiple projects and priorities.

Skills

Epic reporting

Excel

SQL

Data analysis

Dashboards

Communication with leadership

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Epic (EPIC)

Job description

REVENUE INTEGRITY ANALYST

Job Number:

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.

Qualifications

++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

Primary Location

: OHIO-DAYTON-110 N MAIN ST

Work Locations

• 110 N MAIN ST
• 110 N MAIN ST
• DAYTON 45402-1795

Shift Hours : 08:00 am - 5:00 pm Shift Length : 8 Hour Shift Length Budgeted Hours (per pay) : 80