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Revenue Integrity Analyst III – Charge Review, Validation
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 strong ability to lead initiatives that drive measurable ROI. Proficient in advanced analytics and financial data analysis, with a focus on compliance and governance in healthcare settings.
Highest-signal resume keywords
Revenue Cycle ManagementPayer Contract AnalysisEpic ProficiencyAdvanced Financial 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 ComplianceHealthcare ReimbursementCost-Benefit AnalysisCharge Capture ImprovementPredictive AnalyticsCoding MethodologiesData AnalysisGovernance StructuresProject Leadership
Soft Skills
Strong Presentation SkillsMentoringTechnical GuidanceCollaborationCommunication
Tools & Technologies
EpicRevenue Cycle Analytics Platforms
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareBilling CorrectionsRegulatory AdherencePayer StrategyOperational Redesign
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 monitoring denial trends, charge lag, missed charges, and net revenue opportunities
- Perform complex cost-benefit analyses of 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 adherence
- Serve as senior analyst for high-volume or high-risk service lines
- Lead reviews with operational executives and present findings and recommendations
- Mentor Analysts I and II and provide 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
- Regularly required to sit, work on a computer, and attend meetings in person and virtually
- Requires manual dexterity, visual acuity, and ability to communicate effectively
- May require occasional travel between facilities for leadership meetings or audits
- Minimal exposure to clinical environments; primary exposure to office and virtual meeting settings
- 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