Revenue Integrity Analyst
About The Position
Aspire Rural Health Systems is seeking a full time Revenue Integrity Analyst. We are looking for those with a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide our patients with the highest quality of services. The Epic HB & PB Revenue Integrity Analyst supports the financial performance of a three-facility Critical Access Hospital (CAH) system by ensuring accurate, compliant, and optimized charge capture, coding integrity, workflow design, and revenue cycle processes within Epic. This role serves as a liaison between clinical operations, revenue cycle teams, coding, billing, and IT to identify workflow gaps, recommend solutions, and maintain charge integrity across both hospital billing (HB) and professional billing (PB) environments. The Analyst plays a key role in monitoring charging accuracy, resolving systemic issues, creating and maintaining Epic build related to charging and workflows, and supporting regulatory and reimbursement requirements specific to CAH environments (Method II billing, cost-based reimbursement, modifier usage, and CAH-specific charging rules).
Requirements
- Bachelor’s degree in Health Information Management, Business, Finance, Healthcare Administration, IT, or related field; or equivalent experience.
- 3–5 years of experience in Revenue Integrity, Coding, Charge Capture, or Epic Revenue Cycle.
- Strong knowledge of Epic Resolute HB and PB functionality.
- Understanding of Medicare/Medicaid billing rules, CAH billing environments, revenue codes, CPT/HCPCS, and modifiers.
- Ability to interpret clinical workflows and translate them into charging processes.
- Strong analytical, problem-solving, and troubleshooting skills.
Responsibilities
- ensuring accurate, compliant, and optimized charge capture
- coding integrity
- workflow design
- revenue cycle processes within Epic
- liaison between clinical operations, revenue cycle teams, coding, billing, and IT to identify workflow gaps, recommend solutions
- maintain charge integrity across both hospital billing (HB) and professional billing (PB) environments
- monitoring charging accuracy
- resolving systemic issues
- creating and maintaining Epic build related to charging and workflows
- supporting regulatory and reimbursement requirements specific to CAH environments (Method II billing, cost-based reimbursement, modifier usage, and CAH-specific charging rules)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees
