Senior Revenue Integrity Analyst - FT - Days - MHS

memorialhealthcare; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Memorial Healthcare System in Fort Lauderdale, FL seeks a Revenue Integrity Senior Analyst to lead and optimize charge capture, reimbursement, and billing processes across complex Epic-based workflows.

You will configure applications, mentor junior staff, conduct audits of CPT/HCPCS codes, and align data integrity with monthly, quarterly and annual updates.

Qualifications

• Bachelor’s degree in Healthcare Administration or related field required.
• Epic Resolute Hospital Billing experience in a large multi-hospital system.
• Proficient in CPT/HCPCS/ICD-10-CM coding.
• AHIMA/AAPC credential must be obtained within 12 months of hire.
• Oncology revenue cycle experience preferred.

Responsibilities

• Configures and maintains Revenue Integrity applications including Epic modules.
• Leads projects, liaises between Revenue Integrity and customers.
• Develops rules to enhance charge capture and billing accuracy.
• Audits CPT/HCPCS and revenue codes and ensures GL mapping.
• Provides training on EAP codes to clinical departments.

Skills

Revenue cycle

Financial analysis

Accounts receivable

Customer service

Data analysis

Problem solving

Education

Bachelor's degree in Healthcare Administration or related field

Epic Charge Router Certification

Epic Resolute Billing Certification

AHIMA CPC or AAPC COC

Tools

Epic Systems

Microsoft Office

Aria Oncology Platform

Hospital billing systems

Job description

Location

Fort Lauderdale, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

The Revenue Integrity Senior Analyst is responsible for managing and configuring Memorial Healthcare System's complex applications to support organizational needs, including design, development, testing, and implementation of system rules and requirements. This role serves as a lead resource for Revenue Integrity services, ensuring reimbursement, charge capture, and billing processes remain accurate and compliant with monthly, quarterly, and annual updates. In collaboration with end users and department leaders, the Senior Analyst provides guidance, communication, and technical expertise to maintain efficient and compliant revenue operations.

Responsibilities

Builds custom Work Queues, Revenue Guardian tools, and Charge Router/Handler rules to detect and prevent errors.Designs and runs projects independently, meeting with department leaders and staff, and developing strategies to solve charging and billing issues. Serves as a liaison between Revenue Integrity team and customers. Leads or oversees an entire business application module or system, providing mentorship and guidance to junior administrators to develop technical expertise. Provides expert and creative solutions by building new user requirements, functionality, or enhancements to drive efficiency, optimal functionality, and end‑user satisfaction.Maps revenue and UOS to correct GL accounts to ensure internal and external reporting is accurate.Conducts regular audits to ensure the timeliness and accuracy of charging and billing. Audits and reviews all CPT, HCPCS, and revenue codes prior to EAP build.Maintains data integrity when manipulating data files for purposes of analysis. Ensures data does not become corrupted in any way when performing analyses, through conscientious use of tools and a system of checks and balances. Spot‑checks results of queries and reports to ensure meeting expectations before presenting finalized information. Runs data multiple ways to ensure accuracy of results.Ensures new software releases of the Epic system are set up correctly to prevent disruption or error in charge capture. Provides training and guidance to Epic Clinical Department teams to ensure proper use of EAP codes.Performs root‑cause analysis and collaborates with departments for corrective actions. Organizes data and written information into draft projects and proposals. Analyzes business and business processes and data to identify opportunities and improve existing processes using information technology.

Competencies

• ACCOUNTABILITY
• ACCOUNTING - VARIANCE ANALYSIS
• ACCOUNTS RECEIVABLE FOLLOW‑UP
• COLLECTION ACTIVITY
• CUSTOMER SERVICE
• DEVELOPS RELATIONSHIPS
• FINANCIAL ANALYSIS
• RESPONDING TO CHANGE
• REVENUE CYCLE
• STANDARDS OF BEHAVIOR

Education and Certification Requirements

Bachelors (Required)Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC), Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC)

Additional Job Information

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgement, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate timely action. Must be proficient in CPT/HCPCS/ICD 10-CM coding, Microsoft Office products, and hospital billing systems.

Required Work Experience: Minimum of three (3) years working with the Epic Resolute Hospital Billing system in a large multi-hospital organization.

Other Information

Must have or be pursuing a coding credential from the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC), which must be obtained within 12 months from the date of hire.Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) preferred.Bachelor's degree in Healthcare Administration or a related field with a minimum of three (3) years of relevant work experience OR Associate's degree in Healthcare Administration or a related field with a minimum of five (5) years of relevant work experience.Oncology specialization area:Required: Minimum of three (3) years of experience in revenue cycle, oncology billing and/or coding, charge auditing, and/or cancer care.Preferred: Prior experience with the Aria oncology platform for managing patient data, treatment planning, and clinical workflows in cancer care.

Working Conditions and Physical Requirements

• Bending and Stooping = 40%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 20%
• Lifting or Carrying > 75 lbs