Senior Revenue Integrity Analyst - Charge Build/Foundation

essentiahealth; Duluth (MN); Remote; USD 63,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with employer contributions

Tuition reimbursement

Flexible scheduling

Generous time off

Job summary

Essentia Health is hiring a Senior Revenue Integrity Analyst to act as the enterprise SME for charge configuration, Epic build integrity, and chargemaster governance. The role ensures foundational accuracy of charge build within Epic, including CPT/HCPCS, revenue code mapping, pricing, and GL linkage, while mitigating denials and compliance risk.

You will collaborate with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to drive standardized charge

Qualifications

• Epic Resolute experience (HB/PB) required.
• 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance.
• Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance.

Responsibilities

• Lead EPIC (HB/PB) charge build, CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services.
• Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy.
• Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup.
• Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk.
• Promote alignment with Epic Foundation principles and Epic Gold Standard workflows.
• Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges.
• Implement systemic corrections to prevent recurring issues.
• Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders.
• Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions.
• Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives.

Skills

Epic Resolute HB/PB experience

Revenue Integrity

CPT/HCPCS knowledge

Education

Bachelor’s degree in a related field

Job description

Building Location:

Business Service Center

Department:

1006210 REVENUE INTEGRITY - EH SS

Job Description:

Essentia is looking for a Senior Revenue Integrity Analyst who serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance. This role is responsible for ensuring the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. This position safeguards the structural integrity of the organization’s revenue cycle by overseeing new charge build requests, maintaining CDM accuracy, supporting regulatory updates, and ensuring standardized charge configuration across all facilities and service lines. This role works proactively and cross-functionally with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to prevent downstream denials, revenue leakage, and compliance risk.

Key Responsibilities:

• Lead EPIC (HB/PB) charge build, including CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services
• Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy
• Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup
• Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk
• Promote alignment with Epic Foundation principles and Epic Gold Standard workflows
• Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges
• Implement systemic corrections to prevent recurring issues
• Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders
• Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions
• Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives

Education Requirements:

• Bachelor’s degree in a related field.
• Extensive relevant experience may be considered in lieu of formal education.

Required Qualifications:

• Epic Resolute (HB and/or PB) experience
• 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance
• Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance
• Strong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reporting

Preferred Qualifications:

• Epic HB or PB certification
• CRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certification
• Experience leading charge standardization initiatives in an integrated health system
• Knowledge of payer contracts and reimbursement methodologies

FTE:

1

Possible Remote/Hybrid Option:

Remote

Shift Rotation:

Day Rotation (United States of America)

Shift Start Time:

8:00am

Shift End Time:

5:00pm

Weekends:

NO

Holidays:

No

Call Obligation:

No

$62,691.20 - $94,036.80

Employee Benefits at Essentia Health:

At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].