Job Description

The IT Revenue Integrity Analyst plays a critical role in ensuring accurate, compliant, and optimized revenue capture through data analysis, process improvement, and system validation. This position bridges clinical, financial, and IT operations by identifying revenue leakage, charge capture issues, and opportunities for improved billing practices.

The ideal candidate will bring a strong understanding of healthcare billing, coding, and regulatory compliance, along with technical expertise in working with EHRs, charge masters, and healthcare data systems.

What Will You Do

• Monitor and analyze charge capture processes to ensure accurate and complete charging.
• Identify trends, anomalies, and root causes of revenue leakage or missed charges.
• Ability to perform audits of charge data, coding, and system interfaces to ensure compliance and accuracy.
• Maintain knowledge base and flowcharts pertaining to key revenue cycle workflows, including Revenue Cycle Reporting tools.
• Maintain knowledge base of all revenue cycle integration points for each organization on our instance of Epic. Including but not limited to third party integration and internal system workflows which drive revenue cycle.
• Collaborate with IT and clinical departments to validate system-generated charges (e.g., via EHR or billing software).
• Support configuration and maintenance of charge master and fee schedules within healthcare IT systems.
• Test system changes and upgrades to ensure revenue integrity.
• Generate regular reports and dashboards highlighting revenue performance, charge compliance, and financial impact.
• Present findings and recommendations to stakeholders across revenue cycle, clinical, and IT departments.
• Ensure adherence to CMS, HIPAA, and payer-specific regulations and guidelines.
• Keep up to date on regulatory changes affecting charge capture, billing, and documentation.
• Contribute to training and documentation related to revenue integrity practices.

What You Will Need

Required:

• Bachelor’s degree in Healthcare Administration, Finance, Information Systems, or related field.
• 3+ years of experience in healthcare revenue cycle, billing, coding, or healthcare IT.
• Knowledge of CPT/HCPCS, ICD-10, and healthcare billing practices.
• Experience with EHR systems (e.g., Epic, Cerner, Meditech) and charge master structures.
• Strong data analysis skills (Excel, SQL, or similar tools).

Preferred:

• Certifications such as CPC, CPMA, CCS, or CRCR.