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Revenue Integrity Analyst III
INTEGRIS Health. Serve as a senior subject matter expert in revenue integrity .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue integrity, advanced financial analysis, and healthcare reimbursement methodologies, with a strong focus on leading charge capture initiatives and improving net revenue. Proficient in utilizing Epic and analytics platforms to drive strategic insights and governance structures.
Highest-signal resume keywords
Revenue Cycle ManagementEpic ProficiencyHealthcare Reimbursement ExpertiseAdvanced Financial AnalysisProject Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue IntegrityCharge Capture ImprovementPredictive AnalyticsCost-Benefit AnalysisBilling ComplianceCoding MethodologiesDenial PreventionData AnalysisGovernance StructuresFinancial Analysis
Soft Skills
MentoringCoachingPresentation SkillsCommunication
Tools & Technologies
EpicRevenue Cycle Analytics Platforms
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareBilling ComplianceRevenue CycleFinancial AnalysisPayer StrategyOperational RedesignRegulatory Requirements
About the role
Key responsibilities & impact- Serve as a senior subject matter expert in revenue integrity
- Provide advanced analysis and payer escalation support for complex revenue cycle issues
- Lead high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts
- Investigate systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks
- Design and oversee charge capture improvement projects across multiple service lines and Epic workflows
- Develop advanced dashboards and predictive analytics models for denial trends, charge lag, missed charges, and net revenue opportunities
- Perform cost-benefit analyses for revenue improvement proposals, payer policy changes, and operational redesigns
- Lead payer and internal audits and support payment policy or denial escalations
- Collaborate with Compliance, Legal, and CDM teams on governance structures, billing corrections, and regulatory requirements
- Serve as senior analyst for multiple high-volume or high-risk service lines
- Lead quarterly and ad-hoc reviews with operational executives
- Mentor Analysts I and II through technical guidance, coaching, and quality assurance
Requirements
What you’ll need- Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the listed certifications, OR ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification
- Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications
- AHIMA-CCS, AAPC-CPC, CMC, AHIMA-RHIT, or AHIMA-RHIA in lieu of Bachelor’s degree
- Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies
- Proven experience leading revenue integrity projects with measurable ROI
- Advanced proficiency with Epic and revenue cycle analytics platforms
- Ability to analyze complex financial data and communicate strategic insights
- Ability to lead systemwide initiatives and build governance structures
- Strong presentation skills for senior executives and cross-functional committees
- Experience mentoring and coaching junior staff
- Proven track record of improving net revenue and compliance
- Ability to sit, work on a computer, and attend meetings in person and virtually
- Manual dexterity, visual acuity, and effective communication ability
- Ability to travel occasionally between facilities for leadership meetings or audits
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support
- Career and development opportunities