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Senior Revenue Integrity Analyst
Saint Francis Health SystemSenior Revenue Integrity Analyst leading charge capture and revenue reconciliation efforts at Saint Francis health system. Collaborating with clinical operations and finance for improved billing processes.
About the role
Key responsibilities & impact- Leads efforts to ensure accurate, complete, and comprehensive charge (revenue) reconciliation is performed by charge generating departments
- Reviews proactively Epic charging logic, including charge triggers, routing rules, and work queue management
- Conducts advanced analytics to identify financial variances, operational gaps, and revenue risk
- Partners with coding, clinical leadership, finance, and IT to design and implement improvements to charge capture and billing processes
- Designs and leads development of complex reports, dashboards, and analyses
- Provides training, mentorship, and guidance to Revenue Integrity Analysts and department staff
- Leads or co-lead enterprise initiatives related to charge workflows, revenue integrity, regulatory readiness, or service-line reviews
- Identifies and escalates systemic compliance or reimbursement risks to leadership.
Requirements
What you’ll need- Minimum 5 years of Billing, Charge Capture, Charge Description Master (CDM) Management, Revenue Cycle Analytics, or Revenue Integrity within Healthcare experience
- Advanced knowledge of charge capture processes, charge router logic, charging methodologies, and clinical workflows
- Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies
- Strong understanding of Epic workflows, including charge router, charge review, work queues, and Charge Description Master (CDM) integration
- Strong data analysis capabilities, including with large datasets, financial modeling, and root-cause analysis
- Knowledge of healthcare regulatory requirements and revenue cycle operations
- Strong leadership and collaboration skills
- Excellent communication skills, both written and verbal that present clear and concise information
- Effective organizational skills and attention to detail
- Ability to educate and mentor staff, influence decision-makers, and communicate technical concepts to non-technical audiences
- Ability to independently manage complex projects, timelines, and cross-functional deliverables.
Benefits
Comp & perks- None. 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
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Hard Skills & Tools
charge capturecharge description master (CDM) managementrevenue cycle analyticsfinancial modelingroot-cause analysishealthcare coding systemscurrent procedural terminology (CPT)healthcare common procedure coding systems (HCPCS)international classification of diseases (ICD-10)data analysis
Soft Skills
leadershipcollaborationcommunicationorganizational skillsattention to detailmentorshipinfluencing decision-makerseducating staffproject managementcross-functional teamwork