Revenue Integrity Analyst II - CRV Team

INTEGRIS Health•OK, OK

About The Position

The Revenue Integrity Analyst II ensures accurate revenue capture, payer compliance, and optimized reimbursement for the health system. The position 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 II serves as a subject matter expert and strategic partner for revenue integrity initiatives. The role includes analyzing revenue risks and trends, leading charge capture reviews, developing and presenting reports and dashboards, evaluating revenue improvement proposals, supporting payer and internal audits, collaborating with Compliance and CDM teams, and leading quarterly reviews with operational leaders. The position is office-based, 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.
A bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or a related field, in lieu of experience and certifications.
One of the following certifications in lieu of a bachelor’s degree: 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 or reporting tools; Epic is preferred.
Ability to analyze large data sets, identify trends, and clearly present findings.
Effective written and verbal communication skills, including explaining 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 cross-functionally with 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

Experience with Epic revenue cycle systems.

Responsibilities

Investigate and analyze high-impact billing edits, recurring revenue discrepancies, and coding or 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 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, presenting findings, trends, risks, and opportunities for improvement.