Revenue Integrity Analyst I - Hybrid/Remote Eligible

ERDA; Oklahoma City (OK); Hybrid; USD 65.000 - 75.000; Vollzeit

Zusammenfassung

INTEGRIS Health in Oklahoma City is seeking a Revenue Integrity Analyst I - Regional Based (IHMG) to join our finance team. You will analyze billing edits, identify charge capture issues, and support payer compliance activities with operational, coding, and compliance teams.

This role emphasizes data accuracy, denials reduction, and documentation improvement. You will collaborate with clinical staff and leaders, manage multiple service lines, and participate in systemwide revenue improvement

Qualifikationen

• Three (3) years of experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and certification or progress toward one of the certifications listed below.
• Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications.
• AHIMA-CCS or AAPC-CPC or CMC or AHIMA-RHIT or AHIMA-RHIA in lieu of Bachelor's degree.
• Basic knowledge of healthcare billing, coding, and reimbursement methodologies.
• Proficiency with Microsoft Excel and ability to work with data sets.
• Familiarity with Epic or other revenue cycle platforms preferred.
• Strong organizational and problem-solving skills.
• Ability to communicate effectively with peers, leaders, and clinical staff.

Aufgaben

• Billing Edit & Revenue Review: Assists in investigating recurring billing edits, charge discrepancies, and documentation risks.
• Charge Capture Support: Supports charge capture reviews by collecting data, validating results, and assisting departments with improvement recommendations.
• Data & Reporting: Prepares standard reports and dashboards on denial trends, charge lag, missed charges, and other revenue integrity performance indicators.
• Audit Preparation: Assists with payer and internal audits, including gathering documentation and supporting corrective action plan development.
• Compliance & CDM Collaboration: Works with Compliance and CDM teams to monitor basic risk areas and assist in implementing billing corrections.
• Service Line Support: Provides day-to-day analytic support for assigned service lines, escalating complex revenue integrity issues to senior analysts or managers.
• Operational Engagement: Participates in meetings with operational leaders to review key findings and share opportunities for revenue integrity improvement.
• Regularly required to sit, use standard office equipment, and work with computer systems.
• Requires manual dexterity, visual acuity, and verbal communication skills.
• Office-based with potential hybrid/remote flexibility.
• Standard office environment with minimal exposure to clinical settings.

Kenntnisse

Revenue cycle knowledge

Excel proficiency

Epic familiarity

Analytical thinking

Communication skills

Ausbildung

Bachelor's degree or higher in Finance/ Healthcare Administration/ Business

Tools

Microsoft Excel

Epic

Jobbeschreibung

INTEGRIS Health in Oklahoma City is seeking a Revenue Integrity Analyst I - Regional Based (IHMG) to join our finance team. You will analyze billing edits, identify charge capture issues, and support payer compliance activities with operational, coding, and compliance teams.

This role emphasizes data accuracy, denials reduction, and documentation improvement. You will collaborate with clinical staff and leaders, manage multiple service lines, and participate in systemwide revenue improvement