Revenue Integrity Analyst III - Charge Review & Validation

About the role

Join our team as a Revenue Integrity Analyst III - Charge Review & Validation at INTEGRIS Health based in Oklahoma City, OK. This role will support sustained growth in claim edit inventory, increasing billing complexity, denial prevention efforts, charge validation activities, and Epic work queue management. INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. INTEGRIS Health mission: Partnering with people to live healthier lives. To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career. INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.

Benefits

• front-loaded PTO
• medical benefits through the extensive INTEGRIS Health network
• financial assistance for continued education
• 24/7 mental health support

Responsibilities

• Serve as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues.
• Lead high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts.
• Mentor junior analysts, partner with cross-functional leaders, and drive enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.
• Advanced Revenue Risk Analysis: Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action.
• Strategic Charge Capture Leadership: Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows.
• Enterprise Reporting & Analytics: Develops advanced dashboards and predictive analytics models to monitor denial trends, charge lag, missed charges, and net revenue opportunities; provides actionable insights to senior leadership.
• Financial Modeling & ROI: Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns.
• Audit & Payer Escalation Support: Leads payer and internal audits, ensuring thorough documentation, effective responses, and sustainable corrective actions; supports escalations of payment policy or denial issues to senior payer relations leadership.
• Compliance & Governance Leadership: Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements.
• Service Line & Enterprise Expertise: Serves as the senior analyst for multiple high-volume or high-risk service lines; acts as a system resource on complex reimbursement and compliance challenges.
• Operational Leadership & Mentorship: Leads quarterly and ad-hoc reviews with operational executives to present findings and recommendations; mentors Analysts I and II, providing technical guidance, coaching, and quality assurance for their work.

Qualifications

• Required qualifications:
  • Experience: Seven