Senior Revenue Integrity Analyst - Charge Build/Foundation

Essentia Health; Duluth (MN); On-site; USD 41,520 - 62,281; Full time

Job summary

Essentia Health is seeking a Senior Revenue Integrity Analyst in Duluth, Minnesota to oversee charge configuration and governance within Epic. This role ensures accuracy in charge build processes and compliance with regulations while collaborating with various departments to prevent revenue leakage.

Candidates should possess a Bachelor's degree and have at least 5 years of relevant experience, particularly in Revenue Integrity and Epic Resolute. The position offers day shifts with no weekend work and a competitive hourly compensation.

Qualifications

• 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance.
• Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations.
• Strong proficiency in Microsoft Office Suite, especially Excel for data analysis.

Responsibilities

• Lead EPIC (HB/PB) charge build and testing.
• Maintain and govern the chargemaster through standardization.
• Partner with IT to ensure compliant charge setup.
• Conduct denial root cause analysis and monitor payer edits.
• Develop revenue integrity dashboards and reports.

Skills

Epic Resolute (HB and/or PB) experience

Revenue Integrity

CPT/HCPCS knowledge

Advanced Excel skills

Education

Bachelor’s degree in a related field

Tools

Microsoft Office Suite

Job description

Overview

The Senior Revenue Integrity Analyst – Charge Build/Foundation serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance. This role ensures the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. The 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.

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, monitor 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 & Qualifications

• 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

Job Details

Job Location: Business Service Center

Shift Rotation: Day Rotation (United States of America)

Shift Start/End: Days/Days

Hours Per Pay Period: 80

Compensation Range: $30.14 - $45.21 / hour

FTE: 1

Weekends: NO