Revenue Integrity Analyst Manager

Accountabilities: • Lead and coordinate revenue integrity and charge capture activities, ensuring accurate and timely capture of chargeable services and effective charge reconciliation processes.

• Manage the performance, productivity, and development of the Revenue Analyst team, providing feedback, coaching, constructive guidance, and accountability against departmental and organizational goals.

• Analyze revenue cycle data, charge master configuration, charge capture, billing, and coding processes to identify revenue opportunities, risks, and areas for improvement.

• Conduct charge capture assessments, audits, interviews, research, root-cause analyses, and outcomes reviews, providing well-supported recommendations for corrections and process improvements.

• Monitor compliance with state, federal, payer, and organizational billing and reimbursement requirements, ensuring revenue integrity and clinical teams follow established policies, procedures, and quality standards.

• Maintain and improve charge master processes, including CPT, HCPCS, revenue code, general ledger, and cost center considerations, while ensuring charging tools accurately reflect services provided.

• Develop and maintain reports, audit tools, performance indicators, and trending analyses to measure revenue cycle outcomes and communicate findings to leadership and key stakeholders.

• Provide education and ongoing communication to facility teams, service line leaders, charge champions, and corporate staff regarding charge capture, billing, coding, compliance, and regulatory changes.

• Partner with Patient Financial Services, Finance, Compliance, Information Services, and other stakeholders on revenue management initiatives, strategic planning, and workflow improvements.

• Support and enhance revenue cycle applications and reporting tools, including Epic Resolute HB/PB, Resolute HB/PB Claims, Craneware, and other related systems.

• Serve as a subject matter expert on projects and department initiatives by developing functional specifications, creating test scripts, conducting system testing, supporting upgrades and go-lives, and designing solutions that meet organizational needs.

• Communicate results, challenges, opportunities, and recommended solutions through regular reporting, stakeholder interactions, and leadership meetings.

• Lead the implementation and adoption of process improvements across charge capture functions and complete special projects as directed by revenue cycle leadership.

Requirements

• Bachelor’s degree in business, accounting, finance, healthcare administration, business administration, or a related field.

• 10+ years of hospital- or clinic-based revenue cycle experience, with a strong focus on revenue integrity and compliance.

• 5+ years of hospital-based billing, coding, and charge capture experience, including strong knowledge of charge master components, CPT codes, HCPCS, revenue codes, general ledger structures, and cost centers.

• Experience with charge capture, billing, or coding across areas such as pharmacy, radiology, surgery/anesthesia, outpatient clinics, and inpatient hospitalization.

• 5+ years of experience working with Epic Professional Billing (PB) and Hospital Billing (HB).

• Strong analytical, problem-solving, auditing, documentation, and process improvement skills, with the ability to turn complex data into actionable recommendations.

• Demonstrated ability to lead and develop teams, manage competing priorities, and communicate effectively with both technical and non-technical stakeholders.

• Strong knowledge of healthcare revenue cycle operations, reimbursement requirements, compliance standards, and payer guidelines.

• Experience partnering across Finance, Compliance, Information Services, Patient Financial Services, clinical departments, and other organizational functions.

• Advanced application and analytical skills, with experience designing, building, testing, and optimizing technology-enabled solutions.

• A master’s degree is preferred.

• Applicable clinical or professional certifications and licenses are desirable, including HFMA, AAPC, CPC, or CRCT credentials.

• Epic HB/PB certification is preferred.

Benefits

• Fully remote position based in the United States.

• Full-time employment.

• Comprehensive medical, dental, and vision insurance.

• Tuition assistance to support ongoing professional development and education.

• Retirement plan with employer matching.

• Compensation is determined based on relevant years of experience and internal departmental equity.

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