Revenue Integrity Analyst II

Essentia Health•Duluth, MN

5d•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.