Join INTEGRIS Health as a Revenue Integrity Analyst III focused on charge review and validation. This role supports growth in claim edit inventory, billing complexity, denial prevention, charge validation, and Epic work queue management.
You will serve as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues. The role leads charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts while partnering with cross-functional leaders to improve billing accuracy, compliance, and net revenue performance.
Key responsibilities
- Investigate systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks.
- Lead charge capture improvement projects across multiple service lines.
- Build advanced dashboards and predictive analytics to monitor denial trends, missed charges, and revenue opportunities.
- Perform cost-benefit analyses to evaluate revenue improvement proposals and payer policy changes.
- Lead payer and internal audits and support escalations involving payment policy or denial issues.
- Collaborate with Compliance, Legal, and CDM teams on billing corrections and governance.
- Serve as a senior resource for high-risk service lines and complex reimbursement issues.
- Mentor junior analysts and provide technical guidance and quality assurance.
Required experience
- 7 years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis with one of the listed certifications, or
- 10 years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification.
Education
- Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or a related field preferred.
Certifications
- AHIMA-CCS
- AAPC-CPC
- CMC
- AHIMA-RHIT
- AHIMA-RHIA
Skills
- Expert knowledge of hospital and physician billing, coding, and reimbursement methodologies.
- Experience leading revenue integrity projects with measurable ROI.
- Advanced proficiency with Epic and revenue cycle analytics platforms.
- Strong analytical, communication, leadership, and mentoring skills.
- Ability to lead systemwide initiatives and build governance structures.
- Strong presentation skills for senior executives and committees.
- Occasional travel between facilities may be required.
Benefits
- Front-loaded PTO
- Medical benefits through the INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support
Location
Oklahoma City, Oklahoma, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
4 weeks ago