Revenue Integrity Analyst III - ED Charge Capture Auditor

INTEGRIS Health•Oklahoma City, OK

2d•Hybrid

About The Position

INTEGRIS Health is seeking a Revenue Integrity Analyst III to serve as a senior subject matter expert in revenue integrity. The role provides advanced analysis, payer escalation support, and leadership on complex revenue cycle issues. It leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts, while mentoring junior analysts and partnering with cross-functional leaders to support accurate billing, regulatory compliance, and optimized net revenue performance. The Analyst leads investigations into systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks, and develops recommendations for long-term corrective action. The position designs and oversees charge capture improvement projects across multiple service lines, develops advanced dashboards and predictive analytics, performs financial modeling and ROI analyses, and leads payer and internal audit support. It also partners with Compliance, Legal, and CDM teams on governance and billing corrections, serves as a system resource for complex reimbursement and compliance challenges, and presents findings and recommendations to operational executives. This is a hybrid, office-based role, with flexibility as approved by department leadership. The position is based at the INTEGRIS Health 5300 Building in Oklahoma City, Oklahoma. The role regularly involves sitting, computer work, and in-person and virtual meetings. Occasional travel between facilities may be required for leadership meetings or audits; exposure to clinical environments is minimal.

Requirements

Seven years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis, with one of the listed certifications; or ten 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, or a listed certification in lieu of a bachelor’s degree.
AHIMA-CCS, AAPC-CPC, CMC, AHIMA-RHIT, or AHIMA-RHIA certification when used in lieu of a bachelor’s degree.
Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies.
Proven experience leading revenue integrity projects with measurable ROI.
Advanced proficiency with Epic and revenue cycle analytics platforms.
Demonstrated ability to analyze complex financial data and communicate strategic insights.
Strong leadership, coaching, and cross-functional collaboration skills.
Strategic problem-solving ability with an enterprise-level perspective.
Ability to lead systemwide initiatives and build governance structures.
Strong presentation skills for senior executives and cross-functional committees.
Ability to mentor and coach junior staff.
Results-driven approach with a proven track record of improving net revenue and compliance.
Ability to regularly sit, work on a computer, and attend meetings in person and virtually.
Manual dexterity, visual acuity, and ability to communicate effectively.

Nice To Haves

Experience in payer contract analysis and denial prevention strategies is strongly preferred.

Responsibilities

Lead investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks, and recommend long-term corrective actions.
Design and oversee charge capture improvement projects across multiple service lines, supporting sustainable improvements to documentation, charging practices, and Epic workflows.
Develop advanced dashboards and predictive analytics models to monitor denial trends, charge lag, missed charges, and net revenue opportunities, and provide actionable insights to senior leadership.
Perform complex cost-benefit analyses of revenue improvement proposals, payer policy changes, and operational redesigns.
Lead payer and internal audits, ensuring thorough documentation, effective responses, and sustainable corrective actions.
Support escalations of payment policy or denial issues to senior payer relations leadership.
Collaborate with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and support adherence to corporate initiatives and regulatory requirements.
Serve as the senior analyst for multiple high-volume or high-risk service lines and as a system resource on complex reimbursement and compliance challenges.
Lead quarterly and ad-hoc reviews with operational executives, presenting findings and recommendations.
Mentor Analysts I and II by providing technical guidance, coaching, and quality assurance.
Lead high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts.