Senior Revenue Integrity Analyst

Saint Francis Hospital, Inc.; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Saint Francis Hospital, Inc. seeks a Senior Revenue Integrity Analyst to act as a subject-matter expert in charge capture, workflow optimization, revenue reconciliation, and evaluating new services.

You will lead investigations into revenue leakage, implement corrective actions, and support enterprise-wide process improvements. Partners include clinical operations, coding, finance, IT, and revenue cycle leadership to ensure accurate charging within Epic.

Qualifications

• Minimum 5 years in Billing, Charge Capture, CDM or Revenue Integrity within healthcare.
• Strong knowledge of CPT/HCPCS/ICD-10 and reimbursement methods.
• Advanced understanding of Epic charge routing and CDM integration.

Responsibilities

• Lead charge reconciliation across departments.
• Review Epic charging logic, triggers, routing rules, and queues.
• Conduct advanced analytics to identify variances and revenue risk.
• Partner with coding, clinical leadership, finance, IT to improve charge capture.
• Design and lead complex reports, dashboards, and analyses.
• Provide training and mentorship to Revenue Integrity staff.
• Lead enterprise initiatives on charge workflows and compliance.

Skills

Charge capture

Data analysis

Epic workflows

Leadership

Communication

Education

Bachelor’s degree in Business or Healthcare

High school diploma or GED

HFMA CRCR (preferred)

Epic Certifications (preferred)

Tools

Epic Resolute Hospital Billing

Epic Resolute Professional Billing

CDM management

Job description

Full Time Days RECENT (last 3-5 years) Epic HB or PB /Revenue Integrity experience.

Job Summary

The Senior Revenue Integrity Analyst serves as a subject-matter expert in charge capture, charge workflow optimization, revenue reconciliation, and the evaluation of new or enhanced services. This role leads complex investigations into revenue leakage, develops and implements corrective action plans, and supports enterprise-wide process improvements. The Senior Analyst partners closely with clinical operations, coding, finance, Information Technology (IT), and revenue cycle leadership to ensure accurate charging practices within Epic.

Minimum Education

• High school diploma or GED.
• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field, preferred.

Licensure, Registration and/or Certification

• None.
• Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management Association (HFMA), preferred.
• Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, Revenue Integrity), preferred.

Work Experience

• Minimum 5 years of Billing, Charge Capture, Charge Description Master (CDM) Management, Revenue Cycle Analytics, or Revenue Integrity within Healthcare experience.

Knowledge, Skills, and Abilities

• Advanced knowledge of charge capture processes, charge router logic, charging methodologies, and clinical workflows.
• Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies.
• Strong understanding of Epic workflows, including charge router, charge review, work queues, and Charge Description Master (CDM) integration.
• Strong data analysis capabilities, including with large datasets, financial modeling, and root-cause analysis.
• Knowledge of healthcare regulatory requirements and revenue cycle operations.
• Strong leadership and collaboration skills.
• Excellent communication skills, both written and verbal that present clear and concise information.
• Effective organizational skills and attention to detail.
• Ability to educate and mentor staff, influence decision-makers, and communicate technical concepts to non-technical audiences.
• Ability to independently manage complex projects, timelines, and cross-functional deliverables.

Essential Functions and Responsibilities

• Leads efforts to ensure accurate, complete, and comprehensive charge (revenue) reconciliation is performed by charge generating departments.
• Reviews proactively Epic charging logic, including charge triggers, routing rules, and work queue management.
• Conducts advanced analytics to identify financial variances, operational gaps, and revenue risk.
• Partners with coding, clinical leadership, finance, and IT to design and implement improvements to charge capture and billing processes.
• Designs and leads development of complex reports, dashboards, and analyses.
• Provides training, mentorship, and guidance to Revenue Integrity Analysts and department staff.
• Leads or co-lead enterprise initiatives related to charge workflows, revenue integrity, regulatory readiness, or service-line reviews.
• Identifies and escalates systemic compliance or reimbursement risks to leadership.

Decision Making

• Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships

• Coordinates activities of others (does not supervise).
• Coordinates and leads others in same work performed (does not supervise).
• Works directly with patients and/or customers.
• Works with internal and/or external customers via telephone or face to face interaction.
• Works with other healthcare professionals and staff.
• Works frequently with individuals at Director level or above.

Special Job Dimensions

• None.

Supplemental Information

• This document generally describes the essential functions of the job and the physical demands required to perform the job.
• This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Patient Accounting - Yale Campus Location

Virtual Office, Oklahoma 73105

EOE Protected Veterans/Disability

Saint Francis is a Catholic, not-for-profit Health system based in Tulsa, Oklahoma. We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians. The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation. Our system also includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester, northeastern Oklahoma's only children's hospital, a level IV neonatal intensive care unit, a 168-bed heart hospital, and Tulsa's leading trauma and emergency center.