Revenue Integrity Analyst

IMH

. The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line.

Posted 4/23/2026full-timeRemote • Utah • 🇺🇸 United StatesMid-LevelSenior💰 $31 - $48 per hourWebsite

About the role

Key responsibilities & impact

The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line.
This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).
Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.
Participates, researches and follows-up on topics presented at department and system-wide initiatives.
Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance.
Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.
Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources

Requirements

What you’ll need

CPT coding experience
Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.
Demonstrates flexibility and adaptability to change.
Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
Bachelor's degree in finance, healthcare management, data science or related field from an accredited institution.

Benefits

Comp & perks

generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

CPT codingdata analysisreport developmentdata miningregulatory compliancecharge capturecharge editscoding processesfinancial information abstractionclinical information abstraction

Soft Skills

attention to detailorganizational skillsanalytical skillsflexibilityadaptabilityteam collaborationcommunication skillsguidance provisionproblem-solvingperformance monitoring