Senior Revenue Integrity Analyst

UnitedHealth GroupPlymouth, MN
$72,800 - $130,000Remote

About The Position

The Senior Revenue Integrity Analyst serves as a key partner between clinical, operational, and revenue cycle teams to optimize charge capture, billing accuracy, regulatory compliance, and reimbursement performance. This role identifies opportunities to improve revenue cycle outcomes through data analysis, charge master management, revenue integrity reviews, and stakeholder education. Supporting Allina Health, the Senior Revenue Integrity Analyst helps ensure accurate and compliant charge capture, timely billing, and effective revenue cycle operations across assigned service lines. This position collaborates with clinical departments, finance leaders, coding professionals, and operational stakeholders to drive continuous process improvement and revenue optimization initiatives.

Requirements

  • Certification through the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC)
  • 3+ years of experience in healthcare billing, charging practices, and medical coding
  • 3+ years of experience supporting facility-based clinical operations within a healthcare system
  • 3+ years of hands-on Epic experience, with preferred expertise in Chargemaster (CDM), Revenue Integrity, or Revenue Assurance functions
  • Demonstrated knowledge of healthcare revenue cycle operations, charge capture processes, reimbursement methodologies, and regulatory compliance requirements
  • Advanced proficiency with data analysis, reporting tools, spreadsheets, and database applications
  • Willingness to work 8-5 central standard time

Nice To Haves

  • Experience supporting large, complex health systems or multi-site healthcare organizations
  • Experience with revenue cycle process improvement, denial reduction initiatives, and charge capture optimization
  • Experience supporting Epic revenue cycle modules and related healthcare information systems
  • Knowledge of Medicare, Medicaid, and commercial payer billing requirements
  • Demonstrated solid analytical, problem-solving, and communication skills with the ability to influence stakeholders across multiple functions

Responsibilities

  • Partner with clinical and operational teams to identify, investigate, and resolve revenue cycle issues related to charge capture, billing, reconciliation, and denials
  • Conduct revenue integrity reviews and performance assessments to identify opportunities for revenue enhancement, operational efficiency, and regulatory compliance
  • Ensure complete, accurate, and compliant charge capture processes across assigned service lines
  • Support remediation planning and implementation for identified revenue cycle performance gaps
  • Analyze revenue cycle, utilization, and charge capture data to identify trends, root causes, and business improvement opportunities
  • Develop reports, dashboards, and performance metrics that support operational decision-making and revenue optimization strategies
  • Utilize data analytics and statistical methodologies to provide actionable insights and track performance improvement initiatives
  • Present findings and recommendations to clinical, operational, and revenue cycle leadership
  • Maintain and optimize Charge Description Master (CDM) content to ensure compliance with regulatory and payer requirements
  • Support quarterly and annual CPT, HCPCS, and revenue code updates
  • Research charge code requirements and document revenue flow across systems and applications
  • Monitor CDM integrity and partner with stakeholders to ensure accurate implementation and utilization
  • Act as a trusted resource for revenue integrity best practices, charge capture education, and regulatory guidance
  • Participate in system implementations, Epic enhancements, and operational process improvement initiatives
  • Collaborate with coding, billing, finance, compliance, and clinical teams to support organizational goals
  • Assist with special projects and other duties as assigned

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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