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Revenue Integrity Analyst III – ED Charge Capture Auditor
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 Epic workflows, providing actionable insights to senior leadership and mentoring junior staff.
Highest-signal resume keywords
Revenue Cycle ManagementEpic ProficiencyPayer Contract AnalysisDenial Prevention StrategiesHealthcare Financial Analysis
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 ReimbursementFinancial AnalysisCharge Capture ImprovementPredictive AnalyticsCost-Benefit AnalysisSystemwide InitiativesGovernance StructuresHigh-Dollar Revenue Discrepancies
Soft Skills
LeadershipPresentation SkillsMentoringCommunicationCollaboration
Tools & Technologies
EpicRevenue Cycle Analytics PlatformsDashboardsPredictive Analytics Models
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareBilling CorrectionsRegulatory RequirementsPayer StrategyOperational Redesign
About the role
Key responsibilities & impact- Serve as a senior subject matter expert in revenue integrity
- Provide advanced analysis, payer escalation support, and leadership 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
- Develop recommendations for long-term 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 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, billing corrections, corporate initiatives, and regulatory requirements
- 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 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
- Experience mentoring 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
- Career and development opportunities