Revenue Integrity Analyst Senior

BBSS Beyond Blue; Kentucky; Hybrid; USD 85,000 - 105,000; Full time

Job summary

BBSS Beyond Blue is seeking a Senior Revenue Integrity Analyst to lead audits of the CDM, develop financial models, and deliver dashboards for leadership. You will monitor denials, revenue performance, and payer compliance, collaborating with cross-functional teams to drive process improvements and enhance cash collection.

The role requires a Bachelor’s degree and 5+ years of experience in revenue cycle operations, with strong analytical skills and a track record of actionable insights.

Qualifications

• Bachelor’s degree required.
• 5+ years in revenue cycle/analytical role.
• Experience with CDM audits preferred.

Responsibilities

• Leads regular CDM audits and reviews to ensure accuracy and compliance with payer regulations.
• Develops financial models, forecasts, and reports to support leadership decisions.
• Monitors KPIs across billing, denials, and reimbursement processes.
• Collaborates with cross-functional teams to implement revenue cycle improvements.
• Prepares dashboards, presentations, and executive summaries communicating findings.
• Trains and mentors junior analysts on data analysis methods and reporting tools.

Skills

Data analysis

Revenue integrity

Auditing

Financial modeling

Education

Bachelor's degree

Tools

CDM software

Job description

Beyond Blue Job Posting Title: Revenue Integrity Analyst Senior Requisition Number: R-000005387 Department Name: Integrity & CDM Work Location: Remote-KY Grade Level: 11 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Day (United States of America)

Job Description

Job Summary Responsible for analyzing and auditing the Charge Description Master (CDM) to optimize revenue integrity and compliance. Provides insights into trends, performance metrics, and variances to ensure accuracy, compliance, and efficiency in revenue cycle operations. Develops financial models, reporting tools, and forecasts to support leadership in improving revenue capture and reducing risk. Coordinates with cross-functional teams to implement process improvements, monitor outcomes, and advance organizational financial goals. Ensures data integrity and compliance with regulatory and payer requirements while promoting best practices in revenue management.

Essential Functions

• Leads regular CDM audits and reviews, ensuring charge items remain accurate, compliant, and aligned with payer regulations and coding standards while analyzing revenue cycle data to identify trends, and variances.
• Develops financial models, forecasts, and reports to support leadership in decision-making.
• Monitors key performance indicators across billing, collections, denials, and reimbursement processes.
• Collaborates with cross-functional teams to implement revenue cycle process improvements and ensure compliance.
• Prepares dashboards, presentations, and executive summaries to communicate findings and recommendations.
• Conducts audits of revenue data to ensure accuracy, consistency, and adherence to payer and regulatory requirements.
• Provides subject matter expertise on revenue cycle systems, workflows, and reporting tools.
• Supports initiatives to enhance charge capture, reduce denials, and improve cash collections.
• Trains and mentors junior analysts and staff on data analysis methods, reporting tools, and best practices.
• Performs other duties as assigned.

Education Requirement

Bachelor’s degree

Experience Requirement

5+ years of experience

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never
• C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)
• E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)
• G. Repetitive motion:3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:1. Never
• I. Working in confined spaces:1. Never
• J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)
• K. Job-related travel:2. Occasional (< 10% of the time)
• L. Loud noises:1. Never
• M. Temperature extremes:1. Never
• N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)
• O. Radiation:1. Never
• P. Burns:1. Never
• Q. Cuts/Punctures:2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors:1. Never
• T. Combative/violent people:1. Never
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen. Purpose-driven work is behind every aspect of our mission to advance Kentucky – from its economy to its health and from its culture to its levels of educational attainment. We're looking for talented, dedicated individuals to help us support this vital mission and make a difference in the lives of Kentuckians and beyond. Join us as we build a future grounded in service, collaboration and excellence, one where your talents help move our Commonwealth forward.

Beyond Blue Corporation

Beyond Blue Corporation, an affiliated entity of the University of Kentucky, is a strategic vehicle to support the university's growth. Beyond Blue is a nonprofit company that allows the university to abide by all public entity rules and laws while allowing leaders to have some separation and distinctiveness to focus on one core business. The UK Board of Trustees appoints the Beyond Blue Board of Directors and the directors of any of its subsidiary companies.