Revenue Integrity Analyst II

About the role

The Revenue Integrity Analyst II is responsible for performing advanced charge analysis, CDM governance support, charge reconciliation oversight, and denial root cause investigation across hospital and/or professional services.

Responsibilities

• Conduct detailed charge reviews for high-risk departments (e.g., surgery, ED, infusion, radiology).
• Review and validate Epic charge build elements including CPT/HCPCS, revenue codes, modifiers, and routing logic.
• Monitor and investigate reconciliation variances and charge lag trends.
• Perform root cause analysis for charge-related denials and implement corrective recommendations.
• Aid with CDM standardization and regulatory update implementation.
• Develop and maintain revenue integrity dashboards and KPIs.
• Identify revenue leakage patterns and propose workflow or system improvements.
• Provide education and guidance to operational leaders on charge capture and compliance expectations.
• Participate in cross-functional projects with Finance, Coding, Compliance, and IT.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field (or equivalent experience)
• 3–5 years of experience in Revenue Integrity, Revenue Cycle, Coding, CDM Maintenance, Healthcare Finance, or related field
• Strong knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, NCCI/MUE edits relating to health care services
• Preferred: Strong knowledge of clinical and business structures of a complex, integrated healthcare delivery system, experience with Epic Resolute, advanced Excel and analytical skills, experience with all Microsoft Office applications

Qualifications

• Preferred: Advanced Excel and analytical skills; experience with all Microsoft Office applications

Skills

• Knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, NCCI/MUE edits relating to health care services
• Experience with Epic Resolute
• Advanced Excel and analytical skills
• Experience with all Microsoft Office applications

Benefits

At Essentia Health, we offer a comprehensive benefits package including medical, dental, vision, life, and disability insurance, as well as supplemental options. We also provide a 401(k) plan with employer contributions, training, tuition reimbursement, and educational programs to support your professional development. Additional perks include flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health.

Pay

$27.57 - $41.36 / hour

Schedule

Day Rotation (United States of America)

Shift Start/End: Day/Day

Hours Per Pay Period: 80

FTE: 1

No weekends