Senior Revenue Integrity Analyst: Charge Capture

Northeast Georgia Health System; Atlanta (GA); On-site; USD 95,000 - 135,000; Full time

Job summary

Northeast Georgia Health System in Atlanta, GA, seeks a Sr Revenue Integrity Analyst to provide subject matter expertise in charge capture, CDM application, compliance, and reimbursement. You will lead audits, support governance, and drive revenue optimization across clinical departments, ensuring alignment with CMS and payer requirements.

Minimum qualifications include a Bachelor's degree and 5+ years in hospital revenue cycle.

Qualifications

• Bachelor's degree required.
• 5+ years in hospital revenue cycle, charge capture, or CDM.
• A combination of relevant certification(s) and demonstrated work experience may substitute for the required degree.

Responsibilities

• Monitor department charge capture accuracy and reconcile reports.
• Identify charge capture gaps, workflow issues, and revenue risk.
• Provide guidance, training, and education to clinical departments.
• Partner with CDM team on updates and recommend improvements.
• Conduct pre/post bill audits to validate charge mappings and billing rules.
• Analyze trends and root causes impacting reimbursement, compliance, and financial performance.
• Quantify revenue at risk and assess financial impact to optimize revenue initiatives.
• Ensure CMS and regulatory compliance.
• Support CPT/HCPCS annual updates.
• Collaborate cross-functionally with Coding, IT, Finance, Compliance and leadership.
• Support governance committees.
• Develop reports and dashboards and deliver data-driven recommendations to leadership.
• Performs other duties as assigned.

Skills

CPT/HCPCS knowledge

CDM knowledge

Auditing & compliance

Data analysis

Excel

Training & education

Communication

CMS/payor rules

Dashboards & reporting

Education

Bachelor's Degree

Job description

Northeast Georgia Health System in Atlanta, GA, seeks a Sr Revenue Integrity Analyst to provide subject matter expertise in charge capture, CDM application, compliance, and reimbursement. You will lead audits, support governance, and drive revenue optimization across clinical departments, ensuring alignment with CMS and payer requirements.

Minimum qualifications include a Bachelor's degree and 5+ years in hospital revenue cycle.