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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 expert-level knowledge in revenue integrity, hospital and physician billing, and coding methodologies, with a proven ability to lead initiatives that improve net revenue and compliance. Proficient in advanced analytics and financial data analysis to drive strategic insights and governance structures.
Highest-signal resume keywords
Revenue Cycle ManagementHealthcare ReimbursementEpic ProficiencyPayer Contract AnalysisDenial Prevention Strategies
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 IntegrityBilling ComplianceFinancial AnalysisCharge Capture ImprovementPredictive AnalyticsCost-Benefit AnalysisSystemwide InitiativesGovernance StructuresCoding MethodologiesPayer Strategy Escalation
Soft Skills
Strong Presentation SkillsMentoringTechnical GuidanceCommunication SkillsResults-Driven
Tools & Technologies
Revenue Cycle Analytics PlatformsAdvanced DashboardsEpic
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareBillingComplianceDenial PreventionPayer EscalationCharge CaptureRevenue ImprovementFinancial Data AnalysisOperational RedesignService Lines
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
- Develop advanced dashboards and predictive analytics models tracking denial trends, charge lag, missed charges, and net revenue opportunities
- Perform complex 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
- Establish governance structures and implement billing corrections with Compliance, Legal, and CDM teams
- Serve as senior analyst for 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
- Results-driven 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 ability to communicate effectively
- May require occasional travel between facilities for leadership meetings or audits
- Experience in payer contract analysis and denial prevention strategies strongly preferred
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