Job Description

The IT Revenue Integrity Analyst plays a vital role in ensuring accurate, compliant, and optimized revenue capture through data analysis, process improvement, and system validation. This position acts as a bridge between clinical, financial, and IT operations, identifying revenue leakage, charge capture issues, and opportunities for improved billing practices. The ideal candidate will have a strong understanding of healthcare billing, coding, and regulatory compliance, as well as technical expertise in working with EHRs, charge masters, and healthcare data systems.

Benefits

• Comprehensive healthcare benefits (Medical, Dental, Vision)
• Retirement plans with employer contributions
• Tuition reimbursement for ongoing professional development
• Paid time off and holidays
• Employee wellness programs and resources
• Career growth and development opportunities

Key Responsibilities

• Revenue Integrity Analysis
• Monitor and analyze charge capture processes to ensure accurate and complete charging.
• Identify trends, anomalies, and root causes of revenue leakage or missed charges.
• Perform audits of charge data, coding, and system interfaces to ensure compliance and accuracy.
• Maintain a knowledge base of key revenue cycle workflows and Revenue Cycle Reporting tools.
• Maintain knowledge of all revenue cycle integration points, including third-party integrations and internal system workflows that impact the revenue cycle.
• System & Data Validation
• Collaborate with IT and clinical departments to validate system-generated charges (via HER or billing software).
• Support configuration and maintenance of the charge master and fee schedules within healthcare IT systems.
• Test system changes and upgrades to ensure revenue integrity.
• Reporting & Insights
• Generate regular reports and dashboards to monitor revenue performance, charge compliance, and financial impact.
• Present findings and recommendations to stakeholders across revenue cycle, clinical, and IT departments.
• Compliance & Best Practices
• Ensure adherence to CMS, HIPAA, and payer-specific regulations and guidelines.
• Keep up to date with regulatory changes affecting charge capture, billing, and documentation.
• Contribute to training and documentation related to revenue integrity practices.

Qualifications

• Required
• Bachelor’s degree in Healthcare Administration, Finance, Information Systems, or a 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 HER 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.

Keywords
Revenue Integrity, Healthcare Billing, Charge Capture, Data Analysis, EHR Systems, Epic, Compliance, Regulatory Adherence, Healthcare IT, CPT, ICD-10, Charge Master, SQL, Financial Reporting, CMS, HIPAA, Payer-Specific Regulations