ensures accurate revenue capture, payer compliance, and optimized reimbursement for the health system
investigating and resolving high-impact billing edits, recurring discrepancies, and specialty-specific coding risks
collaborating with clinical, operational, and compliance stakeholders to strengthen documentation and charge capture processes
reduce denials, and improve net revenue realization
acting as a subject matter expert and strategic partner for revenue integrity initiatives

Five (5) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Eight (8) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification
Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications
AHIMA-CCS or AAPC-CPC or CMC or AHIMA-RHIT or AHIMA-RHIA in lieu of Bachelor’s degree
Strong knowledge of hospital and physician billing, coding, and reimbursement methodologies.
Proficiency in revenue cycle systems (Epic preferred), Excel, and data visualization/reporting tools.
Ability to analyze large data sets, identify trends, and present findings clearly.
Effective written and verbal communication skills, including the ability to explain complex revenue issues to clinical and operational leaders.
Proven ability to lead initiatives that improve charge capture, reduce denials, and strengthen compliance.

Revenue Integrity Analyst II

Key skills