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System Support

REVENUE INTEGRITY ANALYST

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Job Description

REVENUE INTEGRITY ANALYST
System Support - 3.4 Dayton, OH Job Details Full-time 20 hours ago Qualifications CMS Coding for hospital billing Bachelor's degree Charge capture (medical billing) Centers for Medicare & Medicaid Services (CMS) billing regulations Healthcare financial management Clinical documentation standards Cross-functional communication Full Job Description
REVENUE INTERGRITY ANALYST / MANAGED CARE / REVENUE CYCLE 8AM T0 5PM / FULL TIME / 80 HOURS PER PAY PERIOD FULLY REMOTE
The Revenue Integrity Analyst is responsible for supporting the financial and operational integrity of the health system's revenue cycle through analysis, implementation, monitoring, and optimization of charging, coding, documentation, reimbursement, and payer operational workflows. This role serves as a liaison between clinical operations, finance, reimbursement, managed care, decision support, coding, CDI, patient access, and revenue cycle departments to ensure new services, procedures, devices, and technologies are operationalized effectively and reimbursed appropriately. The position identifies revenue leakage risks, reimbursement vulnerabilities, operational inefficiencies, and denial trends while supporting compliant charge capture and revenue optimization initiatives across the health system.
Education Minimum Level of Education Required:
Bachelor's degree Additional requirements: Type of degree : Bachelor's Degree Area of study or major : Healthcare Administration, Finance, Business, Health Information Management or related field preferred.
Experience Minimum Level of Experience Required:
3 - 5 years of job related experience Prior job title or occupational experience: Health care reimbursement, financial analytics, revenue integrity, coding or chargemaster Other experience requirements: Extensive knowledge various hospital reimbursement methodologies, APC, MS-DRG, APR-DRG, EAPG, case rate, etc. Knowledge of
CPT, HCPCS, ICD-10, CMS
reimbursement methodologies, and payer policies Understanding of hospital revenue cycle processes, operations, and charge capture workflows Strong analytical, financial, and problem-solving skills Experience with Epic reporting, Excel, SQL, dashboards, and data analysis preferred Ability to communicate effectively with operational, physician and executive leadership Ability to manage multiple projects and operational priorities simultaneously