Revenue Integrity Analyst

Revenue Integrity Analyst

The Revenue Integrity Analyst supports the Revenue Integrity Department and is responsible for the maintenance and optimization of entity charge masters, revenue usage reporting, and charge capture processes. This role partners closely with Hospital Service Lines and Revenue Cycle departments to ensure accurate maintenance, reporting, and operational support within the Epic Hospital Billing system.

Key responsibilities include analyzing charge master data, monitoring revenue utilization, and supporting charging workflows to promote compliance, consistency, and reimbursement optimization. The analyst will assist with financial analyses that detail gross and net revenue impacts, helping to ensure standardized charging methodologies, market competitiveness, regulatory compliance, and maximum reimbursement opportunities.

The ideal candidate will possess a strong understanding of healthcare revenue cycle functions and charging practices. Knowledge of CPT, HCPCS, and Revenue Codes is highly preferred. Experience supporting clinical and operational workflows in areas such as Rehabilitation Therapy, Radiology, Radiation Oncology, Laboratory Services, Respiratory Care, Wound Care, Nutrition Services, Endoscopy/GI, Emergency Department, and other hospital service lines is highly desirable.

Successful candidates will demonstrate strong analytical and problem-solving skills, attention to detail, and the ability to work collaboratively across multiple departments. Proficiency in Microsoft Excel, including VLOOKUPs, Pivot Tables, and data analysis tools, is preferred.

This is an excellent opportunity for a healthcare finance or revenue cycle professional who enjoys leveraging data to drive operational excellence, support regulatory compliance, and improve organizational financial performance.

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Charge Process Department is responsible for entity charge masters and revenue usage reports. Support both internal and external customers on all aspects of maintenance and reporting from the five chargemaster patient accounting systems which house nine different chargemasters within the system. Performs financial analysis detailing gross and net revenue impacts to ensure consistent charging methodologies, market sensitivity and maximum reimbursement are coordinated.

Role Purpose: Responsible for providing financial and systems analysis to all Revenue Cycle areas, which may include patient accounting, CDM (charge description master), financial performance reporting, registration, collections, scheduling and electronic billing systems.

Responsibilities:

• Provides variance analysis of budget vs. actual results for assigned areas, providing explanations of the causes of any material variances.
• Develops and prepares management reports utilizing reporting capabilities of various revenue cycle systems.
• Works directly with the Management staff on development of procedures and processes, and serves as a liaison between departments.
• Utilizes key business skills to guide project leadership and team members in achieving the stated business objectives.
• Structures and conducts best practice research, process analyses, benchmarking and performance baseline measurement activities.

Minimum Requirements:

• Education: Bachelor's Degree
• Experience: 2-5 years

Preferred Requirements:

• Education: Master's Degree
• Supervisor Experience: No Experience

BJC Total Rewards:

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer