Revenue Integrity & Reimbursement Analyst

UVALDE MEMORIAL HOSPITAL•Uvalde, TX
•Onsite

About The Position

Uvalde Memorial Hospital is seeking a detail-oriented and analytical Revenue Integrity & Reimbursement Analyst to support accurate, compliant, and optimized reimbursement. This specialized role analyzes reimbursement, denials, charge capture, billing workflows, payer requirements, and financial performance to identify revenue opportunities, reduce financial risk, and improve revenue cycle processes. In This Role, You Will You will analyze revenue cycle and reimbursement data, identify denial trends and underpayments, investigate revenue leakage and billing inaccuracies, and develop actionable recommendations for leadership. The position also supports payer appeals, evaluates charge capture and billing workflows, assists with system and process improvements, and monitors regulatory and payer requirements. You’ll work collaboratively with Patient Accounting, HIM/Coding, CDI, Registration, Informatics, clinical departments, Finance, and other stakeholders to strengthen reimbursement and revenue cycle performance.

Requirements

  • Strong understanding of hospital revenue cycle operations, reimbursement, billing, denial management, and claim processing
  • Ability to analyze complex financial and operational information
  • Three years of progressive hospital revenue cycle experience

Nice To Haves

  • Associate degree in Business, Healthcare Administration, Finance, HIM, HIT, or a related field
  • Relevant certification and substantial experience may be considered in lieu of formal education
  • Preferred certifications include CHRI, RHIT/RHIA, CPC, CCS, CRIP, CRCR, CRCP, CHFP, or another recognized revenue cycle, reimbursement, coding, compliance, or HIM certification

Responsibilities

  • Analyze revenue cycle and reimbursement data
  • Identify denial trends and underpayments
  • Investigate revenue leakage and billing inaccuracies
  • Develop actionable recommendations for leadership
  • Support payer appeals
  • Evaluate charge capture and billing workflows
  • Assist with system and process improvements
  • Monitor regulatory and payer requirements
  • Collaborate with Patient Accounting, HIM/Coding, CDI, Registration, Informatics, clinical departments, Finance, and other stakeholders to strengthen reimbursement and revenue cycle performance
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