Senior Revenue Integrity Analyst - FT - Days - MHS

Memorial Healthcare

9d•Onsite

About The Position

The Revenue Integrity Senior Analyst manages and configures Memorial Healthcare System applications to support organizational needs, including designing, developing, testing, and implementing system rules and requirements. The role serves as a lead resource for Revenue Integrity services, helping ensure accurate and compliant reimbursement, charge capture, and billing processes through monthly, quarterly, and annual updates. In collaboration with end users and department leaders, the analyst provides guidance, communication, and technical expertise to support efficient revenue operations. The position requires critical thinking, effective communication, decisive judgment, and the ability to work with minimal supervision in a stressful environment. The analyst must be proficient in CPT/HCPCS/ICD-10-CM coding, Microsoft Office products, and hospital billing systems. The role is based in Fort Lauderdale, Florida, and is described as primarily for office workers.

Requirements

Bachelor’s degree in Healthcare Administration or a related field and at least three years of relevant work experience, or an associate’s degree in Healthcare Administration or a related field and at least five years of relevant work experience.
At least three years of experience working with the Epic Resolute Hospital Billing system in a large multi-hospital organization.
Must have or be pursuing a coding credential from AHIMA or AAPC; the credential must be obtained within 12 months of hire.
Proficiency in CPT, HCPCS, and ICD-10-CM coding, Microsoft Office products, and hospital billing systems.
Critical thinking and effective communication skills, decisive judgment, and ability to work with minimal supervision and take timely action in a stressful environment.
For the oncology specialization area, at least three years of experience in revenue cycle, oncology billing and/or coding, charge auditing, and/or cancer care.
Epic Charge Router certification and Epic Resolute Billing certification are listed as certification requirements.

Nice To Haves

Certified Professional Coder (CPC) or Certified Outpatient Coder (COC).
Prior experience with the Aria oncology platform for managing patient data, treatment planning, and clinical workflows in cancer care.

Responsibilities

Build custom Work Queues, Revenue Guardian tools, and Charge Router/Handler rules to detect and prevent errors.
Independently design and run projects, meet with department leaders and staff, and develop strategies to address charging and billing issues.
Serve as a liaison between the Revenue Integrity team and customers.
Lead or oversee a business application module or system and mentor junior administrators.
Develop user requirements, functionality, and enhancements to improve efficiency, system functionality, and end-user satisfaction.
Map revenue and units of service (UOS) to the correct general ledger accounts to support accurate internal and external reporting.
Conduct regular audits to ensure charging and billing are timely and accurate.
Audit and review CPT, HCPCS, and revenue codes before EAP build.
Maintain data integrity when manipulating files for analysis; check query and report results and run data multiple ways to verify accuracy.
Ensure new Epic software releases are configured correctly to prevent charge-capture disruption or errors.
Train and guide Epic Clinical Department teams in the proper use of EAP codes.
Perform root-cause analysis and collaborate with departments on corrective actions.
Organize data and written information into draft projects and proposals.
Analyze business processes and data to identify opportunities to improve existing processes through information technology.