Revenue Integrity Specialist

SSM Health

Revenue Integrity Specialist in healthcare handling billing claim resolutions and collaborating with clinical departments. Focusing on revenue cycle efficiency and support for assigned ministries.

Posted 7/30/2026full-timeRemote • Illinois, Montana, Oklahoma, Wisconsin • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare revenue cycle management, billing and coding processes, and effective collaboration with clinical departments. Proficient in utilizing EPIC systems for revenue integrity and reporting.

Highest-signal resume keywords

Healthcare Revenue CycleBilling And CodingEPICICD/CPT Coding GuidelinesAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Revenue Integrity ManagementClaim ResolutionData AnalysisKPI MonitoringError Identification

Soft Skills

CollaborationProblem SolvingCommunication

Tools & Technologies

EPIC Revenue Integrity Dashboard

Industry Keywords

National Correct Coding InitiativeHospital OrganizationPhysician Practice EnvironmentStandardization Opportunities

About the role

Key responsibilities & impact

Assists in daily resolution of work queue/edits that are holding patient claims from billing by reviewing applicable documentation.
Identifies, reports, with escalation as needed, and participates in the resolution of any potential or actual revenue/charge related issues.
Identifies areas of common practice and implements opportunities for standardization.
Monitors EPIC Revenue Integrity Dashboard(s) in collaboration with ministry liaisons to manage and report out weekly for leadership/colleagues.
Responds to departmental charging inquiries.
Provides support for assigned ministries in collaboration with Revenue Integrity Analysts.
Works with coding and other clinical departments to identify/fix errors based on ICD/CPT coding guidelines and National Correct Coding Initiative (NCCI) edits.
Contributes to improvement initiatives as directed by department leaders, focusing on WQ accuracy of rules, naming conventions and assignments, and KPIs for performance as assigned.

Requirements

What you’ll need

Ideal candidate has experience with healthcare revenue cycle, billing and coding, Epic, and has a strong attention to detail.
One year experience within a hospital organization or physician practice environment.
Associate’s degree or equivalent combination of education and experience.

Benefits

Comp & perks

Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.