Revenue Integrity & Analytics Lead (Remote)

Optum; Las Vegas (NV); Hybrid; USD 83,097,000 - 149,001,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase program

401(k) contribution

Job summary

Optum in Las Vegas seeks a Revenue Integrity Supervisor to oversee West revenue integrity processes, charge capture, and coding accuracy. You will maintain the chargemaster, review reimbursement trends, and collaborate with coding and clinical teams to fix issues.

The role emphasizes analytics, cross-functional teamwork, and proactive improvement in the revenue cycle. The position offers remote work within the U.S.

Qualifications

• 2+ years in Healthcare Revenue Cycle Operations including revenue integrity, reimbursements, denials.
• 2+ years in advanced analytics delivering actionable insights from data.
• Working knowledge of ICD, CPT, HCPCS coding.
• Experience with data from payor claims, EDI, EHR.
• Experience with cross-functional teams and leadership.
• Knowledge of third-party payer requirements.
• Intermediate proficiency with Microsoft Excel, PowerPoint, Word, Project.
• Strong problem solving and analytical skills.

Responsibilities

• Supervises daily revenue integrity operations including payer payment and pricing applications.
• Maintains chargemaster and fee schedules for West Region; coordinates updates.
• Monitors charge-capture controls and revenue reconciliation.
• Reviews Epic charge-related work queues and billing edits.
• Partners with Coding and clinical departments to correct charge and coding errors.
• Serves as primary resource for charge-related questions and payer requirements.
• Identifies opportunities to optimize practice management and reporting.
• Analyzes KPI dashboards and monthly operational reports for stakeholders.
• Analyzes charges, payments, denials, and trends to identify revenue gaps.
• Performs routine claim and chargemaster reviews and escalates issues with payers.
• Monitors payer guidance and implements compliant changes.
• Leads reviews with operational leaders and develops improvement plans.
• Supports payer contract configuration and monitors payments against terms.
• Participates in revenue cycle improvement initiatives.

Skills

Healthcare revenue cycle

Advanced analytics

Medical coding (ICD CPT HCPCS)

Data from multiple sources

Team collaboration

Communication skills

Microsoft Excel

PowerPoint

Word

MS Project

Tools

Epic

Microsoft Project

Job description

Optum in Las Vegas seeks a Revenue Integrity Supervisor to oversee West revenue integrity processes, charge capture, and coding accuracy. You will maintain the chargemaster, review reimbursement trends, and collaborate with coding and clinical teams to fix issues.

The role emphasizes analytics, cross-functional teamwork, and proactive improvement in the revenue cycle. The position offers remote work within the U.S.