Revenue Integrity Analyst - FT - Days - Revenue Integrity @ MV

El Camino Health • Mountain View, CA

1d

About The Position

The Revenue Integrity Analyst maintains El Camino Health’s Charge Description Master (CDM) and supports broader revenue integrity functions across the organization. The role helps ensure accurate charge capture and billing by applying expertise in coding, documentation review, and compliance with CMS and commercial payer requirements. Responsibilities include CDM maintenance, professional fee schedule oversight, coding and pricing validation, and support for resolving NCCI and MUE edits and denials. The analyst reviews documentation in Epic or another EHR, advises on modifier use and corrections, and collaborates with clinical stakeholders, IT, and Revenue Cycle departments to support compliant and complete revenue capture.

The position is full-time, with an FTE of 1, 80 scheduled bi-weekly hours, and an 8-hour day shift. The required certification is Certified Professional Coder (CPC) from AAPC or equivalent. Candidates must maintain active certification in good standing throughout employment. A bachelor’s degree in business, Health Information Management, or a healthcare-related field is preferred; high school diploma or equivalent is required.

Requirements

• High school diploma or equivalent.
• Three years of combined experience in hospital CDM management, charge capture, or revenue integrity roles.
• At least two years of experience with professional or facility coding, modifier usage, and claim edit resolution.
• Experience interpreting clinical documentation in an EHR and applying coding principles to support accurate billing.
• Proficiency in Microsoft Excel, Word, and Epic or comparable EHR/CDM systems.
• Strong understanding of a hospital’s comprehensive revenue cycle.
• Strong communication and interpersonal skills, including the ability to work with all organizational levels, including senior leadership.
• Ability to collaborate and work cohesively in a dynamic team environment.
• Required: Certified Professional Coder (CPC) from AAPC or equivalent; maintain active certification in good standing throughout employment.

Nice To Haves

• Bachelor’s degree in business, Health Information Management (HIM), or a healthcare-related field.
• Certified Coding Specialist (CCS) or Certified Coding Specialist–Physician-based (CCS-P) from AHIMA.

Responsibilities

• Maintain the CDM, including CPT/HCPCS coding, UB-04 Revenue Code assignments, and pricing.
• Maintain and oversee professional fee schedules for hospital-affiliated clinics.
• Keep the CDM compliant with billing and coding updates from CMS, AMA, and applicable government and commercial payers.
• Review and resolve NCCI and MUE edits in collaboration with coding, clinical, and billing teams; determine appropriate modifier use and correction strategies based on documentation.
• Interpret clinical documentation in the EHR to validate submitted charges and help resolve coding discrepancies.
• Partner with clinical and ancillary departments to provide education and guidance on accurate, compliant charge capture.
• Support audits and charge validations to identify revenue recovery opportunities and compliance improvements.
• Collaborate with IT and application teams, including Epic teams, to integrate CDM changes with front-end charge capture tools and workflows.
• Monitor regulatory changes and payer guidance to maintain CDM accuracy and help minimize coding- or documentation-related claim denials.
• Perform other duties as assigned.

What This Job Offers

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