Revenue Integrity Analyst III - ED Charge Capture Auditor

INTEGRIS Health; Oklahoma City (OK); Híbrido; USD 95.000 - 130.000; Jornada completa

Descripción de la vacante

INTEGRIS Health is seeking an experienced Revenue Integrity Analyst III - ED Charge Capture Auditor in Oklahoma City to lead complex revenue cycle initiatives and provide expert analysis across payer strategies and auditing.

Formación

• 7+ years in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis; or 10+ years in lieu of education/certifications.
• Bachelor’s degree in a related field may be used in lieu of some experience.
• AHIMA/CPC/CMC certifications or RHIT/RHIA preferred in lieu of Bachelor’s degree.

Responsabilidades

• Serve as senior SME in revenue integrity and lead high-level charge capture initiatives.
• Mentor junior analysts and partner with cross-functional leaders to drive systemic improvements.
• Develop dashboards and predictive analytics to monitor denial trends and net revenue opportunities.
• Perform cost-benefit analyses for proposals affecting revenue and operations.
• Lead audits and escalate payer issues to senior leadership as needed.
• Collaborate with Compliance, Legal, and CDM teams on governance and corrective actions.
• Lead systemwide initiatives and govern charging practices and Epic workflows.
• Provide quarterly and ad-hoc reviews with executives and coach Analysts I & II.

Conocimientos

Billing & coding expertise

ROI leadership

Epic proficiency

Financial data analysis

Leadership & coaching

Cross-functional collaboration

Strategic problem-solving

Governance & initiative leadership

Executive presentation

Mentoring junior staff

Net revenue improvement

In-person/virtual collaboration

Communication skills

Travel readiness

Hybrid office adaptability

Educación

Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or related field

Herramientas

Epic

Revenue cycle analytics platforms

Descripción del empleo

Job Description

Join our team as a Revenue Integrity Analyst III - ED Charge Capture Auditor at the INTEGRIS Health 5300 Building in Oklahoma City, OK.

Join our team as a Revenue Integrity Analyst III - ED Charge Capture Auditor at the INTEGRIS Health 5300 Building in Oklahoma City, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take your first step toward growing your career by joining us.

Responsibilities

The Revenue Integrity Analyst III serves as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues. This position leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts. The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.

• Advanced Revenue Risk Analysis Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action.
• Strategic Charge Capture Leadership Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows.
• Enterprise Reporting & Analytics Develops advanced dashboards and predictive analytics models to monitor denial trends, charge lag, missed charges, and net revenue opportunities. Provides actionable insights to senior leadership.
• Financial Modeling & ROI Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns.
• Audit & Payer Escalation Support Leads payer and internal audits, ensuring thorough documentation, effective responses, and sustainable corrective actions. Supports escalations of payment policy or denial issues to senior payer relations leadership.
• Compliance & Governance Leadership Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements.
• Service Line & Enterprise Expertise Serves as the senior analyst for multiple high-volume or high-risk service lines; acts as a system resource on complex reimbursement and compliance challenges.
• Operational Leadership & Mentorship Leads quarterly and ad-hoc reviews with operational executives to present findings and recommendations. Mentors Analysts I and II, providing technical guidance, coaching, and quality assurance for their work.

Qualifications

REQUIRED QUALIFICATIONS

EXPERIENCE

• Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification

EDUCATION

• Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications

LICENSE/CERTIFICATIONS

• AHIMA-CCS or AAPC-CPC or CMC or AHIMA-RHIT or AHIMA-RHIA in lieu of Bachelor’s degree

SKILLS

• Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies.
• Proven experience leading revenue integrity projects with measurable ROI.
• Advanced proficiency with Epic and revenue cycle analytics platforms.
• Demonstrated ability to analyze complex financial data and communicate strategic insights.
• Strong leadership, coaching, and cross-functional collaboration skills.
• Strategic problem-solving with enterprise-level perspective.
• Ability to lead systemwide initiatives and build governance structures.
• Strong presentation skills for senior executives and cross-functional committees.
• Effective mentor and coach for junior staff.
• Results-driven with proven track record of improving net revenue and compliance.
• Regularly required to sit, work on a computer, and attend meetings in person and virtually.
• Requires manual dexterity, visual acuity, and ability to communicate effectively.
• May require occasional travel between facilities for leadership meetings or audits.
• Hybrid office-based role with flexibility as approved by department leadership.
• Minimal exposure to clinical environments; primary exposure to office and virtual meeting settings.

Preferred Qualifications

EXPERIENCE

• Experience in payer contract analysis and denial prevention strategies strongly preferred.

INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

About Us

INTEGRIS Health mission:

Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.