The Revenue Integrity Analyst III serves as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues.
This position leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts.
The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.
Requirements
Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) 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
Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies.
Proven experience leading revenue integrity projects with measurable ROI.
Advanced proficiency with Epic and revenue cycle analytics platforms.
Demonstrated ability to analyze complex financial data and communicate strategic insights.
Strong leadership, coaching, and cross-functional collaboration skills.
Strategic problem-solving with enterprise-level perspective.
Ability to lead systemwide initiatives and build governance structures.
Strong presentation skills for senior executives and cross-functional committees.
Effective mentor and coach for junior staff.
Results-driven with proven track record of improving net revenue and compliance.
Regularly required to sit, work on a computer, and attend meetings in person and virtually.
Requires manual dexterity, visual acuity, and ability to communicate effectively.
May require occasional travel between facilities for leadership meetings or audits.