Billing Integrity Analyst
About The Position
OB Hospitalist Group (OBHG) is seeking a detail-oriented and analytical Billing Integrity Analyst to join our Revenue Cycle Management (RCM) team. This role is critical to ensuring the accuracy, compliance, and integrity of our healthcare billing processes and reimbursement practices. The Billing Integrity Analyst will work cross-functionally with coding, managed care, payer enrollment, and external vendor partners to optimize billing accuracy, reduce denials, and improve overall financial performance. If you are passionate about healthcare revenue cycle operations, claims analysis, payer regulations, and process improvement, we encourage you to apply.
Requirements
- Strong analytical, investigative, and problem-solving abilities.
- Advanced Microsoft Excel skills and experience utilizing data analysis tools.
- Experience working with healthcare billing, claims management, and revenue cycle systems.
- Knowledge of healthcare reimbursement methodologies and payer contracts.
- Exceptional attention to detail and commitment to accuracy.
- Strong verbal and written communication skills.
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Nice To Haves
- 3–5 years of experience in healthcare billing, revenue cycle management, claims auditing, reimbursement analysis, or related healthcare financial operations.
- Experience working with healthcare billing systems and EMR/EHR platforms.
- Knowledge of Medicare, Medicaid, and commercial payer requirements.
- Experience identifying denial trends and implementing corrective actions.
- Familiarity with payer enrollment processes and managed care contract requirements.
Responsibilities
- Research and analyze government and managed care billing guidelines to ensure compliance and operational accuracy.
- Audit claim setup configurations, identify discrepancies, and follow through to resolution.
- Develop and maintain billing and claims documentation, policies, and procedures.
- Review billing transactions, claims, and reimbursement data for accuracy and compliance.
- Investigate claim denials, billing issues, and claim edits while recommending system enhancements to reduce future denials.
- Monitor compliance with payer contracts, government regulations, and organizational policies.
- Collaborate with Coding, Managed Care, Payer Enrollment, and vendor partners to improve billing outcomes.
- Identify process improvement opportunities and recommend corrective actions.
- Perform root-cause analysis of billing errors and implement preventative solutions.
- Validate billing system configurations and workflows to ensure accurate claim generation.
- Maintain detailed audit records, findings, and corrective action documentation.
- Stay current on reimbursement methodologies, payer guidelines, and industry regulatory changes.
Benefits
- Paid time off & holidays
- Medical, dental, and vision insurance
- Health Savings Account (with employer contribution) or Flexible Spending Account options
- Employer Paid Basic Life and AD&D Insurance
- Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
- Paid Parental Leave
- 401(k) Savings Plan with match
- Legal Plan & Identity Theft Services
- Mental health support and resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
