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Revenue Integrity Analyst III – Charge Review, Validation
INTEGRIS Health. Investigate systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develop recommendations for corrective action .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management, billing compliance, and healthcare reimbursement, with a strong focus on strategic problem-solving and leadership in revenue integrity projects. Proficient in utilizing Epic and advanced analytics to drive improvements in documentation and charge capture across service lines.
Highest-signal resume keywords
Revenue Cycle ManagementEpic ProficiencyHealthcare ReimbursementLeadership and MentoringStrategic Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing ComplianceFinancial AnalysisCost-Benefit AnalysisPredictive AnalyticsCharge Capture ImprovementPayer Contract AnalysisCoding MethodologiesRevenue Integrity ProjectsData AnalysisDashboard Development
Soft Skills
LeadershipCoachingCross-Functional CollaborationEffective CommunicationPresentation Skills
Tools & Technologies
EpicRevenue Cycle Analytics Platforms
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareBilling EditsComplianceGovernance StructuresDenial Prevention StrategiesOperational RedesignsPayer RelationsHigh-Risk Service LinesDocumentation ImprovementRevenue Opportunities
About the role
Key responsibilities & impact- Investigate systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develop recommendations for corrective action
- Design and oversee charge capture improvement projects across multiple service lines
- Improve documentation, charging practices, and Epic workflows
- Develop advanced dashboards and predictive analytics models for denial trends, charge lag, missed charges, and net revenue opportunities
- Provide actionable insights to senior leadership
- Perform complex cost-benefit analyses for revenue improvement proposals, payer policy changes, and operational redesigns
- Lead payer and internal audits and support payer-relations escalations
- Collaborate with Compliance, Legal, and CDM teams on governance structures, billing corrections, corporate initiatives, 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
- Leadership, coaching, and cross-functional collaboration skills
- Strategic problem-solving with an enterprise-level perspective
- Ability to lead systemwide initiatives and build governance structures
- 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
- 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