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Revenue Integrity Analyst
Duke CareersCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue integrity and charge capture optimization, with a strong focus on coding compliance, data analysis, and educational strategy development within healthcare settings.
Highest-signal resume keywords
Revenue Cycle ExperienceCoding Certification (CPC, CCS, RHIA, RHIT)In-Depth Knowledge of Medicare/Medicaid RegulationsCharge Capture and Reporting ExperienceStrong Oral and Written Communication Skills
About the role
Key responsibilities & impact- Support revenue integrity and charge capture optimization initiatives within Duke Health's Charge Description Master team
- Review pre-bill accounts flagged through Epic Revenue Guardian edits
- Enter missing hospital charges based on supporting medical documentation
- Evaluate charge capture opportunities and determine appropriate charge corrections
- Develop strategies for implementing new Revenue Guardian edits to reduce revenue leakage
- Provide analytical support related to third-party payer reimbursement and contract compliance
- Conduct quality control audits to ensure data and documentation integrity
- Trend accounts qualifying for Revenue Guardian edits and compile findings by clinical department for education deliverables
- Serve as subject matter expert to leadership on Revenue Integrity issues
- Prepare monthly reports and educational presentations for clinical departments and Revenue Manager teams
- Monitor data trends to validate documentation improvement and charge capture initiatives
- Follow up with health team members to ensure accurate and complete medical-record documentation
- Collaborate with operational leaders to develop provider and service-line education strategies
- Use root cause analysis to correct negative trends and behaviors
- Review contracted-payer charges and payments for accuracy and manage appeals processes
- Identify revenue gains through reporting tools
- Perform other related duties
Requirements
What you’ll need- Bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or another related field
- 3 years of experience related to coding
- Coding certification required, such as CPC, CCS, RHIA, or RHIT
- In-depth knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements
- Revenue Cycle experience
- Strong oral and written communication skills
- Research-oriented with ability to critically analyze and reason large amounts of data
- Charge capture, reporting, and analysis experience preferred
Benefits
Comp & perks- Equal opportunity employer
- Commitment to collaboration, innovation, creativity, and belonging
- Reasonable accommodation information and provisions available upon request
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge Capture OptimizationData AnalysisQuality Control AuditsRoot Cause AnalysisContract ComplianceRevenue Guardian EditsMedical Documentation ReviewTrend AnalysisEducational Presentation PreparationThird-Party Payer Reimbursement
Soft Skills
Research-OrientedCritical ThinkingCollaborationCommunication
Tools & Technologies
Epic Revenue GuardianReporting Tools
Certifications & Qualifications
CPCCCSRHIARHIT
Industry Keywords
Revenue IntegrityCharge Description MasterHealthcare AdministrationBillingCodingDocumentation Requirements