REVENUE INTEGRITY ANALYST

About the role

The Revenue Integrity Analyst is responsible for supporting the financial and operational integrity of the health system’s revenue cycle through analysis, implementation, monitoring, and optimization of charging, coding, documentation, reimbursement, and payer operational workflows. This role serves as a liaison between clinical operations, finance, reimbursement, managed care, decision support, coding, CDI, patient access, and revenue cycle departments to ensure new services, procedures, devices, and technologies are operationalized effectively and reimbursed appropriately. The position identifies revenue leakage risks, reimbursement vulnerabilities, operational inefficiencies, and denial trends while supporting compliant charge capture and revenue optimization initiatives across the health system.

Responsibilities

• Support the financial and operational integrity of the revenue cycle through analysis, implementation, monitoring, and optimization of charging, coding, documentation, reimbursement, and payer operational workflows.
• Act as a liaison between clinical operations, finance, reimbursement, managed care, decision support, coding, CDI, patient access, and revenue cycle departments to ensure new services, procedures, devices, and technologies are operationalized effectively and reimbursed appropriately.
• Identify revenue leakage risks, reimbursement vulnerabilities, operational inefficiencies, and denial trends.
• Support compliant charge capture and revenue optimization initiatives across the health system.

Requirements

• Bachelor’s degree; preferred fields of study: Healthcare Administration, Finance, Business, Health Information Management or related.
• 3‑5 years of job‑related experience in health care reimbursement, financial analytics, revenue integrity, coding, or chargemaster.
• Extensive knowledge of hospital reimbursement methodologies (APC, MS‑DRG, APR‑DRG, EAPG, case rate, etc.).
• Knowledge of CPT, HCPCS, ICD‑10, CMS reimbursement methodologies, and payer policies.
• Understanding of hospital revenue cycle processes, operations, and charge capture workflows.
• Strong analytical, financial, and problem‑solving skills.
• Experience with Epic reporting, Excel, SQL, dashboards, and data analysis preferred.
• Ability to communicate effectively with operational, physician, and executive leadership.
• Ability to manage multiple projects and operational priorities simultaneously.