Senior Revenue Integrity Analyst - FT - Days - MHS
Core
Manages and configures complex hospital billing applications to ensure accurate reimbursement, charge capture, and compliance with regulatory updates.
Role type
Senior Revenue Integrity Analyst (Healthcare Billing Systems)
Builds
Custom Work Queues, Revenue Guardian tools, Charge Router/Handler rules, and Epic system configurations.
Domain
Healthcare / Revenue Cycle Management / Hospital Billing
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Root-cause analysis, data integrity management, CPT/HCPCS/ICD-10-CM coding, Epic Resolute Hospital Billing, business process analysis, audit execution, GL account mapping, system rule design
Preferred skills
Oncology billing and coding, Aria oncology platform, CPC or COC certification, Healthcare Administration degree
Technologies
Epic Charge Router, Epic Resolute Billing, Epic EAP, Microsoft Office
Responsibilities
Perform root-cause analysis and collaborate on corrective actions; Design and run projects to solve charging and billing issues; Conduct regular audits of CPT, HCPCS, and revenue codes; Map revenue and UOS to correct GL accounts; Ensure new Epic software releases are configured correctly; Provide training to Clinical Department teams on EAP codes.
Seniority
Senior, hands-on IC with mentorship responsibilities