Revenue Integrity Analyst II - Ambulatory

INTEGRIS Health•Oklahoma City, OK

9h•Hybrid

About The Position

The Revenue Integrity Analyst II - Ambulatory ensures accurate revenue capture, payer compliance, and optimized reimbursement for the health system. The role investigates and resolves high-impact billing edits, recurring discrepancies, and specialty-specific coding risks. The Analyst collaborates with clinical, operational, and compliance stakeholders to strengthen documentation and charge capture processes, reduce denials, and improve net revenue realization. Assigned to high-volume or complex clinical service lines, the Analyst serves as a subject matter expert and strategic partner for revenue integrity initiatives. The position conducts revenue risk analysis, leads in-depth charge capture reviews, and develops and presents reports and dashboards on denial trends, charge lag, missed charges, net revenue performance, and other revenue metrics. It performs cost-benefit analyses, supports payer and internal audits, partners with Compliance and CDM teams, and leads quarterly reviews with operational leaders. The role is based at the INTEGRIS Health Corporate Office in Oklahoma City, Oklahoma, with hybrid or remote flexibility subject to department leadership approval. Occasional travel between system facilities may be required.

Requirements

Five years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis, along with one of the listed certifications; alternatively, eight years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification.
Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or a related field in lieu of experience and certifications; listed certifications may be used in lieu of a bachelor’s degree.
One of the following certifications when applicable: AHIMA-CCS, AAPC-CPC, CMC, AHIMA-RHIT, or AHIMA-RHIA.
Strong knowledge of hospital and physician billing, coding, and reimbursement methodologies.
Proficiency in revenue cycle systems, Excel, and data visualization and reporting tools.
Ability to analyze large data sets, identify trends, and present findings clearly.
Effective written and verbal communication skills, including the ability to explain complex revenue issues to clinical and operational leaders.
Proven ability to lead initiatives that improve charge capture, reduce denials, and strengthen compliance.
Analytical problem-solving and attention to detail.
Ability to collaborate across Finance, Compliance, CDM, Clinical, and Operational leadership.
Strong presentation and facilitation skills.
Results-oriented approach focused on measurable improvements in revenue integrity.
Ability to manage multiple priorities independently in a fast-paced environment.

Nice To Haves

Epic revenue cycle system experience is preferred.

Responsibilities

Investigate and analyze high-impact billing edits, recurring revenue discrepancies, and coding and documentation risks to identify trends, root causes, and corrective actions.
Lead in-depth charge capture reviews and collaborate with departments to improve documentation, charging practices, and revenue accuracy.
Develop, analyze, and present dashboards and reports on denial trends, charge lag, missed charges, net revenue performance, and other key revenue metrics.
Perform cost-benefit analyses for revenue improvement proposals, workflow redesigns, and operational strategies.
Participate in payer and internal audits, prepare required documentation, support responses, and assist with corrective action planning.
Partner with Compliance and CDM teams to monitor risks, implement billing corrections, and support enterprise-wide initiatives.
Serve as the designated analyst for assigned high-volume or complex service lines, providing specialized monitoring, analytics, and recommendations.
Lead quarterly reviews with operational leaders and present findings, trends, risks, and opportunities for improvement.