Senior Revenue Integrity Analyst

Dayton Children's; Kentucky; Hybrid; USD 70,000 - 90,000; Full time

Job summary

Dayton Children's is looking for a Revenue Integrity Analyst to work in a hybrid model from home, focusing on ensuring accurate billing and preventing revenue leakage. This role involves coordinating with various departments and requires significant experience in healthcare revenue integrity.

The ideal candidate will hold a Bachelor’s degree in a related field and possess strong analytical skills, particularly with EPIC and coding systems. The position is full-time and offers an opportunity to impact healthcare service delivery.

Qualifications

• 6-10 years of revenue integrity analyst experience in healthcare.
• Experience with EPIC electronic health record and certification required.
• Ability to research CPT and regulatory requirements.

Responsibilities

• Oversee revenue integrity analyst performance and report to leadership.
• Process assigned work queue accounts for compliant billing.
• Provide operational analytical support on reimbursement trends.

Skills

Revenue integrity analysis

EPIC electronic health record

Microsoft Office Tools

CPT and HCPCS coding

Education

Bachelor’s degree in Health Information Management or related field

Master’s degree preferred

Tools

Trisus (Craneware)

Strata

Job description

Facility: Work from Home - Hybrid - Ohio Department: Revenue Integrity Services

Schedule: Full time Hours: 40

Job Details

• Plan and oversee revenue integrity analyst performance and report goal status to leadership
• Maintain work queues, apply regulatory changes, maintain chargemaster, and prevent revenue leakage
• Process assigned work queue accounts to ensure accurate, compliant billing of patient accounts
• Assist revenue integrity analysts with task completion and queue processing
• Use Epic CDM Management/Revenue Integrity to create, edit, delete, and research CDM requests for all hospital departments for hospital and professional billing
• Establish and enforce hospital pricing, coding, and regulatory changes
• Provide operational analytical support on reimbursement, charge lag, revenue trends, and other revenue‑related items
• Coordinate and collaborate with Health Information Management, Information Systems, Billing, Finance and Operations

Department Specific Job Details

• Education: Bachelor’s degree in Health Information Management, Finance or related field required; Master’s preferred
• Experience: 6‑10 years of revenue integrity analyst experience in healthcare
• Experience with EPIC electronic health record and EPIC CDM/Revenue Integrity (HB and PB); certification required within 6 months of employment
• Ability to research CPT and regulatory requirements; experience with CPT and HCPCS codes and interpreting CPT guidance
• Experience in Medicare and Medicaid reimbursement methodologies
• Proficiency in Microsoft Office Tools (Outlook, Excel)

Preferred Qualifications / Skills

• Trisus (Craneware) chargemaster experience
• Strata experience
• Registered Health Information Administrator (RHIA) certification

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.