Revenue Integrity Analyst

Ascension • Milwaukee, WI

6d • Hybrid

About The Position

The Revenue Integrity Analyst evaluates patient-care workflows from clinical service delivery through documentation, analyzing charge capture, billing data, denials, and KPIs to identify workflow gaps, root causes, and revenue leakage. The role partners with clinical, operational, and CDM teams to develop, validate, and maintain Charge Description Master (CDM) structures, CPT/HCPCS/revenue codes, and charge-capture workflows for existing services and new clinical initiatives.

The analyst directs multi-system revenue integrity operations across Epic and Oracle Health/Cerner applications and uses reporting and analytics tools—including Excel, Power BI, and Tableau—to monitor performance and reimbursement impact. The position translates CMS and regulatory changes into compliant charging protocols, manages revenue integrity projects, delivers targeted education, and implements sustainable corrective action plans for clinical leadership.

Requirements

• High school diploma equivalency with 2 years of cumulative experience, or an associate's or bachelor's degree, or 4 years of applicable cumulative job-specific experience.
• Heavy clinical background, such as RN or active clinical licensure, with demonstrated mastery in interpreting complex patient records, physician documentation, and clinical workflows to ensure charge-capture precision.
• Advanced system expertise and/or certifications in Epic or Oracle Health/Cerner EHR environments.
• Credentialing in HIM, coding, or revenue integrity, such as RHIA, CCS, CPC, CRCR, or CHRI.

Responsibilities

• Evaluate patient-care workflows from clinical service delivery through documentation.
• Analyze charge capture, billing data, denials, and KPIs to identify workflow gaps, root causes, and revenue leakage.
• Partner with clinical, operational, and CDM teams to develop, validate, and maintain CDM structures, CPT/HCPCS/revenue codes, and charge-capture workflows.
• Support charge-capture workflows for existing services and new clinical initiatives.
• Direct revenue integrity operations across Epic and Oracle Health/Cerner applications.
• Use reporting tools and analytics platforms to monitor performance and reimbursement impact.
• Translate CMS and regulatory changes into compliant charging protocols.
• Manage revenue integrity projects, deliver targeted education, and implement sustainable corrective action plans for clinical leadership.

Benefits

• Medical, dental, vision, and prescription coverage, with HSA/FSA options.
• Employer-matched 403(b), planning and hardship resources, disability insurance, and life insurance.
• Pro-rated paid time off (PTO) and holidays.
• Ascension-paid tuition through Vocare, reimbursement, ongoing professional development, and online learning.
• Employee Assistance Program, counseling and peer support, spiritual care, and stress management resources.
• Parental leave, adoption assistance, and family benefits.
• Optional legal and pet insurance and transportation savings.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED