Senior Revenue Integrity Analyst
Core
Subject-matter expert leading charge capture, charge workflow optimization, revenue reconciliation, and evaluation of new services to prevent revenue leakage.
Role type
Senior Revenue Integrity Analyst (Healthcare)
Builds
Enterprise-wide process improvements for accurate charging practices within Epic
Domain
Healthcare Revenue Cycle / Billing Operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Charge capture process expertise, Epic workflow management, Healthcare coding systems (CPT, HCPCS, ICD-10), Revenue cycle analytics, Financial modeling, Root-cause analysis, Regulatory compliance knowledge
Preferred skills
Certified Revenue Cycle Representative (CRCR), Epic Certifications (Resolute Hospital/Professional Billing, Revenue Integrity)
Technologies
Epic (HB/PB), Charge Description Master (CDM), Epic Charge Router
Responsibilities
Lead complex investigations into revenue leakage and implement corrective action plans. Review Epic charging logic, triggers, routing rules, and work queue management. Conduct advanced analytics to identify financial variances and operational gaps. Design and lead development of complex reports, dashboards, and analyses. Provide training and mentorship to Revenue Integrity Analysts and department staff. Lead enterprise initiatives related to charge workflows and regulatory readiness.
Seniority
Senior, hands-on IC with leadership responsibilities