Revenue Integrity Analyst

The Revenue Integrity Analyst supports financial performance across the revenue cycle by improving charge capture, ensuring accurate reimbursement, and strengthening payment integrity. This role combines analytics, charge auditing, and reimbursement review to help identify trends, resolve discrepancies, and support operational and compliance goals across hospital and professional billing.

Key responsibilities include:

• Designing and maintaining dashboards and scorecards for denials, write-offs, payer performance, and charge activity
• Analyzing trends and converting complex data into actionable insights for stakeholders
• Conducting audits and Revenue Guardian checks to validate charge accuracy and completeness
• Performing payer-specific audits and monitoring discharge and charge tracking reports
• Monitoring and resolving discharged-not-billed accounts to support timely claim submission
• Investigating denials and underpayments and recommending process improvements
• Managing appeals for underpaid claims and tracking recovery outcomes
• Reviewing high-dollar write-offs for appropriateness and escalating discrepancies when needed
• Overseeing post-service single case agreements to support reimbursement accuracy
• Partnering with clinical, operational, and payer relations teams to improve documentation and resolve discrepancies
• Participating in audits, strategic initiatives, and revenue optimization projects