Revenue Integrity Analyst II
Essentia Health•Duluth, MN
•$57,346 - $86,029•Remote
About The Position
Revenue Integrity Analyst II performs advanced charge analysis, CDM governance support, charge reconciliation oversight, and denial root cause investigation across hospital and/or professional services. This role independently manages moderate-to-complex revenue integrity initiatives and partners directly with operational leaders to resolve systemic charge capture and compliance issues. The Analyst II serves as a subject matter resource for Epic charge build workflows, reconciliation controls, and regulatory billing requirements.
Requirements
- Bachelor’s degree in Healthcare Administration, Finance, Business, or related field (or equivalent experience)
- 3–5 years of experience in Revenue Integrity, Revenue Cycle, Coding, CDM Maintenance, Healthcare Finance, or related field
- Strong knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, NCCI/MUE edits relating to health care services
Nice To Haves
- Strong knowledge of clinical and business structures of a complex, integrated healthcare delivery system
- Experience with Epic Resolute preferred
- Advanced Excel and analytical skills; experience with all Microsoft Office applications preferred
Responsibilities
- Conduct detailed charge reviews for high-risk departments (e.g., surgery, ED, infusion, radiology).
- Review and validate Epic charge build elements including CPT/HCPCS, revenue codes, modifiers, and routing logic.
- Monitor and investigate reconciliation variances and charge lag trends.
- Perform root cause analysis for charge-related denials and implement corrective recommendations.
- Assist with CDM standardization and regulatory update implementation.
- Develop and maintain revenue integrity dashboards and KPIs.
- Identify revenue leakage patterns and propose workflow or system improvements.
- Provide education and guidance to operational leaders on charge capture and compliance expectations.
- Participate in cross-functional projects with Finance, Coding, Compliance, and IT.
Benefits
- medical, dental, vision, life, and disability insurance
- supplemental options
- 401(k) plan with employer contributions
- training, tuition reimbursement, and educational programs
- flexible scheduling
- generous time off
- wellness resources focused on your physical, mental, and emotional health
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
