Senior Revenue Integrity Analyst - Charge Build/Foundation

Essentia Health; Minnesota; Remote; USD 63,000 - 94,000; Full time

Job summary

Essentia Health is seeking a Senior Revenue Integrity Analyst to serve as the enterprise expert for charge configuration, Epic build integrity, and chargemaster governance. You will lead EPIC charge builds, maintain the chargemaster through regulatory updates, and coordinate with IT, Finance, Coding, and Compliance to prevent denials and revenue leakage.

The ideal candidate has a bachelor’s degree, 5+ years in Revenue Integrity or healthcare finance, and advanced Excel skills.

Qualifications

• Epic Resolute (HB and/or PB) experience.
• 5+ years in Revenue Integrity, CDM Build/Maintenance, or healthcare finance.
• Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, and CDM governance.
• Proficient in Microsoft Office with advanced data analysis capabilities.

Responsibilities

• Lead EPIC (HB/PB) charge build, CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, and testing.
• Maintain and govern chargemaster through regulatory updates and standardization.
• Partner with IT and Clinical Informatics to ensure compliant charge setup.
• Establish charge reconciliation controls, policies, and escalation of financial risk.
• Develop and maintain revenue integrity dashboards and KPIs for leadership guidance.

Skills

Epic Resolute HB/PB

Revenue Integrity

CDM Build/Maintenance

Revenue Cycle

Healthcare finance

Advanced Excel

Education

Bachelor's degree in related field

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Microsoft Outlook

Job description

Building Location:Business Service CenterDepartment:1006210 REVENUE INTEGRITY - EH SSJob 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.Education Qualifications: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 servicesMaintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracyPartner with IT and Clinical Informatics to ensure compliant and optimized charge setupEstablish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial riskPromote alignment with Epic Foundation principles and Epic Gold Standard workflowsOversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect chargesImplement systemic corrections to prevent recurring issuesConduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leadersDevelop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actionsServe as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiativesEducation 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) experience5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare financeAdvanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governanceStrong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reportingPreferred Qualifications:Epic HB or PB certificationCRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certificationExperience leading charge standardization initiatives in an integrated health systemKnowledge of payer contracts and reimbursement methodologiesLicensure/Certification Qualifications:FTE:1Possible Remote/Hybrid Option:RemoteShift Rotation:Day Rotation (United States of America)Shift Start Time:8:00amShift End Time:5:00pmWeekends:NOHolidays:NoCall Obligation:NoUnion:Union Posting Deadline:Compensation Range:$62,691.20 - $94,036.80Employee 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].