Business Systems Analyst, Revenue Integrity
Core
Analyze revenue cycle data to ensure accurate billing, identify missed charges/denials, and optimize charge capture workflows within a university health system.
Role type
Business Systems Analyst (Revenue Integrity)
Builds
Revenue cycle system changes, reporting dashboards, and automation tools
Domain
Healthcare / Revenue Cycle Management
Required skills
Revenue cycle management, healthcare billing and coding (CPT, ICD-10, HCPCS), charge capture, root cause analysis, process optimization, data analysis, project management, Microsoft Office Suite (Excel, Visio, PowerPoint)
Preferred skills
Epic Resolute certification, EHR platform experience (Epic, Cerner), supply chain management principles
Technologies
Epic, Cerner, Microsoft Office Suite, Visio, Project
Responsibilities
Review clinical documentation and charge data for billing accuracy; Identify trends in missed charges, denials, and underpayments; Assist in testing and validating revenue cycle system changes; Generate and analyze reports on revenue integrity KPIs; Collaborate across IT and operational teams to improve charge capture workflows; Ensure adherence to payer guidelines and regulatory requirements.
Seniority
Mid-Senior, hands-on IC