Senior Revenue Integrity Analyst
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Job Description
Senior Revenue Integrity Analyst leading charge capture and revenue reconciliation efforts at Saint Francis health system. Collaborating with clinical operations and finance for improved billing processes.
Responsibilities:
- Leads efforts to ensure accurate, complete, and comprehensive charge (revenue) reconciliation is performed by charge generating departments
- Reviews proactively Epic charging logic, including charge triggers, routing rules, and work queue management
- Conducts advanced analytics to identify financial variances, operational gaps, and revenue risk
- Partners with coding, clinical leadership, finance, and IT to design and implement improvements to charge capture and billing processes
- Designs and leads development of complex reports, dashboards, and analyses
- Provides training, mentorship, and guidance to Revenue Integrity Analysts and department staff
- Leads or co-lead enterprise initiatives related to charge workflows, revenue integrity, regulatory readiness, or service-line reviews
- Identifies and escalates systemic compliance or reimbursement risks to leadership.
Requirements:
- Minimum 5 years of Billing, Charge Capture, Charge Description Master (CDM) Management, Revenue Cycle Analytics, or Revenue Integrity within Healthcare experience
- Advanced knowledge of charge capture processes, charge router logic, charging methodologies, and clinical workflows
- Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies
- Strong understanding of Epic workflows, including charge router, charge review, work queues, and Charge Description Master (CDM) integration
- Strong data analysis capabilities, including with large datasets, financial modeling, and root-cause analysis
- Knowledge of healthcare regulatory requirements and revenue cycle operations
- Strong leadership and collaboration skills
- Excellent communication skills, both written and verbal that present clear and concise information
- Effective organizational skills and attention to detail
- Ability to educate and mentor staff, influence decision-makers, and communicate technical concepts to non-technical audiences
- Ability to independently manage complex projects, timelines, and cross-functional deliverables.
Benefits:
- None.
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