Revenue Integrity Analyst II

About the role

Revenue Integrity Analyst II performs advanced charge analysis, CDM governance support, charge reconciliation oversight, and denial root cause investigation across hospital and/or professional services. This role independently manages moderate-to-complex revenue integrity initiatives and partners directly with operational leaders to resolve systemic charge capture and compliance issues. The Analyst II serves as a subject matter resource for Epic charge build workflows, reconciliation controls, and regulatory billing requirements.

Key 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.
• Assist 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.

Required Qualifications

• 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 Qualifications

• Strong knowledge of clinical and business structures of a complex, integrated healthcare delivery system
• Experience with Epic Resolute preferred
• Advanced Excel and analytical skills; experience with all Microsoft Office applications

Benefits

• Medical, dental, vision, life, and disability insurance, along with supplemental options
• 401(k) plan with employer contributions
• Training, tuition reimbursement, and educational programs
• Flexible scheduling, generous time off, and wellness resources focused on physical, mental, and emotional health

Pay

$27.57 - $41.36 / hour

Schedule

Day Rotation, 80 hours per pay period, no weekends