The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System’s enterprise EHR.
Validate and troubleshoot MHS GENESIS revenue cycle build, including coding workflows, charge capture, charge router logic, and billing integrations.
Analyze clinical and financial data to identify coding variances, charge gaps, and revenue integrity issues.
Investigate edits, rejections, and denials; identify root causes; and coordinate fixes with coding, clinical, revenue cycle, and IT teams.
Reconcile clinical activity against charges, validate CDM mapping, and ensure charges flow correctly across departments.
Conduct chart‑to‑bill audits, confirm coding accuracy, and ensure alignment with DHA, CMS, and federal regulations.
Educate clinicians and RCM staff, serve as liaison between operational and build teams, and support revenue improvement workgroups.

Requirements

Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse.
Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred.
Bachelors Degree
FOUR (4) or more years of Revenue Cycle Management (RCM) build experience, including troubleshooting, system reconfiguration, and/or project management.
Bachelor’s Degree in Business, Management, Healthcare Administration, Business Analysis, Statistics, or related field
Experience with Oracle/Cerner EHR RCM Solution initial builds, trouble shooting, issue resolution, and system reconfigurations.
Proficiency in CPT, ICD‑10, ICD‑10‑PCS, and HCPCS coding systems.
Experience performing clinical coding audits, charge capture reviews, or revenue integrity analysis.
Familiarity with MHS GENESIS, Oracle Health, or similar EHR revenue cycle modules (charge router, encounter coding, professional/hospital billing).
Understanding of CDM structure, charge routing logic, and billing edits.
Strong analytical skills with the ability to interpret clinical documentation and financial data.
Excellent communication skills, with the ability to explain coding and documentation concepts to clinical and administrative stakeholders.
Experience working within the Military Health System (MHS) or other federal health systems.
Knowledge of DHA billing policies, TRICARE requirements, and federal reimbursement guidelines.
Coding certifications such as CPC, CCS, CPMA, RHIT, or RHIA.
Experience supporting EHR configuration, workflow design, or revenue cycle modernization initiatives.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

MHS GENESISRevenue Cycle ManagementCPT codingICD-10 codingICD-10-PCS codingHCPCS codingOracle/Cerner EHRclinical coding auditscharge capturedata analysis

Soft Skills

analytical skillscommunication skillsproblem-solvingcollaborationeducationliaisoncoordinationroot cause analysisstakeholder engagementproject management

Certifications

CPCCCSCPMARHITRHIAFederal TrustDoD Suitability