Revenue Integrity Lead: Charge Capture & Compliance

Northeast Georgia Health System; Atlanta (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

Northeast Georgia Health System is seeking a Sr. Revenue Integrity Analyst to lead charge capture and CDM activities, drive revenue optimization, and ensure CMS/payor compliance. You will audit, train, and partner across clinical departments, delivering data-driven insights to leadership.

Ideal candidates have 5+ years in hospital revenue cycle, strong Excel and data analysis skills, and familiarity with CPT/HCPCS and reimbursement rules. Equal Opportunity Employer.

Qualifications

• Bachelor's degree in a healthcare-related field or equivalent.
• Minimum 5+ years in hospital revenue cycle, charge capture, or CDM.
• Strong knowledge of CPT/HCPCS and reimbursement.
• Experience with dashboards and reporting; auditing/compliance background.

Responsibilities

• Monitor departmental charge capture accuracy and analyze work queues and reconciliation reports.
• Identify charge capture gaps, workflow issues, and revenue loss risks.
• Provide guidance and education to clinical departments.
• Partner with the CDM team on updates and improvements.
• Conduct pre/post bill audits to validate charge mappings and billing rules.
• Analyze trends and root causes impacting reimbursement and financial performance.
• Quantify revenue at risk and develop corrective action plans to optimize revenue initiatives.
• Ensure CMS and regulatory compliance; support CPT/HCPCS annual updates.
• Collaborate with Coding, IT, Finance, Compliance and leadership to resolve issues and improve processes.
• Develop reports and dashboards and deliver data-driven recommendations to leadership.

Skills

CPT/HCPCS knowledge

Excel

Data analysis

Education

Bachelor's Degree

Tools

Epic Certification

Job description

Northeast Georgia Health System is seeking a Sr. Revenue Integrity Analyst to lead charge capture and CDM activities, drive revenue optimization, and ensure CMS/payor compliance. You will audit, train, and partner across clinical departments, delivering data-driven insights to leadership.

Ideal candidates have 5+ years in hospital revenue cycle, strong Excel and data analysis skills, and familiarity with CPT/HCPCS and reimbursement rules. Equal Opportunity Employer.