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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 dashboard development to monitor financial performance and denial trends.
Highest-signal resume keywords
Revenue Cycle ManagementEpic ProficiencyHealthcare Reimbursement ExpertiseProject LeadershipFinancial 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 ComplianceCoding MethodologiesPredictive AnalyticsCost-Benefit AnalysisCharge Capture ImprovementDenial PreventionData AnalysisDashboard DevelopmentPayer Strategy
Soft Skills
Presentation SkillsMentoringCollaborationCommunication
Tools & Technologies
EpicRevenue Cycle Analytics Platforms
Certifications & Qualifications
AHIMA-CCSAAPC-CPCCMCAHIMA-RHITAHIMA-RHIA
Industry Keywords
HealthcareRevenue CycleBillingComplianceFinancial Analysis
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; develop corrective-action recommendations
- Design and oversee charge capture improvement projects across multiple service lines and Epic workflows
- Develop dashboards and predictive analytics models monitoring 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 escalations of payment policy or denial issues
- Collaborate with Compliance, Legal, and CDM teams on governance, billing corrections, and regulatory requirements
- 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 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 certifications listed below 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, attend meetings in person and virtually, and communicate effectively
- May require occasional travel 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