Senior Revenue Integrity Business Analyst - Epic

Senior Revenue Integrity Business Analyst

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

Optum is transforming health care through innovation, data, and technology. We're seeking a Senior Revenue Integrity Business Analyst to support Allina Health by optimizing revenue cycle performance, charge capture accuracy, regulatory compliance, and reimbursement outcomes.

In this role, you will serve as a key liaison between clinical, operational, finance, information technology, coding, and revenue cycle teams. You will leverage Epic expertise, revenue integrity knowledge, and data analysis skills to identify opportunities for process improvement, revenue optimization, and operational efficiency.

Primary Responsibilities:

• Epic & System Support
  • Maintain and support Epic Resolute Hospital Billing (HB) and Professional Billing (PB) tables
  • Perform testing, validation, and implementation of system updates and enhancements
  • Maintain dynamic bed charge billing tables and related charge automation rules
  • Complete Epic build activities across various environments through Production
• Analytics & Reporting
  • Analyze revenue cycle, utilization, and financial data to identify trends and improvement opportunities
  • Develop reports, dashboards, and performance metrics to support leadership decision-making
  • Present findings, recommendations, and business solutions to stakeholders and leadership
• Charge Description Master (CDM) Management
  • Maintain and optimize Charge Description Master (CDM) content
  • Support annual and quarterly CPT, HCPCS, revenue code, and pricing updates
  • Ensure compliance with payer, regulatory, and organizational requirements
  • Research and document workflows across applications and systems
• Collaboration & Process Improvement
  • Partner with clinical, finance, coding, compliance, information technology, and operational teams to improve revenue cycle outcomes
  • Serve as a resource for revenue integrity best practices and charge capture
  • Support Epic implementations, enhancements, and strategic initiatives

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of experience in healthcare billing, charge capture, medical coding, or revenue cycle operations
• 3+ years of experience supporting facility-based clinical operations within a healthcare system
• 3+ years of Epic experience, preferably supporting Revenue Integrity, Revenue Assurance, or Chargemaster functions
• Experience with revenue cycle processes, reimbursement methodologies, and regulatory requirements
• Knowledge of Charge Description Master (CDM) maintenance, CPT/HCPCS codes, revenue codes, and hospital cost center structures
• Advanced skills in data analysis, reporting, spreadsheets, and database tools
• Ability to work 8:00 AM - 5:00 PM Central Time

Preferred Qualifications:

• AHIMA or AAPC certification
• Epic Resolute Hospital Billing Charging certification or proficiency
• Experience supporting Revenue Integrity, Revenue Assurance, or Chargemaster functions
• Experience supporting large, complex health systems
• Experience with denial reduction, revenue cycle optimization, and charge capture improvement initiatives
• Knowledge of Medicare, Medicaid, and commercial payer billing requirements
• Demonstrated solid analytical, problem-solving, communication, and stakeholder management skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.