Senior Revenue Integrity Analyst

Senior Revenue Integrity Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

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.

Primary Responsibilities:

• Revenue Integrity & Charge Capture
  • 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
• Data Analysis & Reporting
  • 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
• Charge Description Master (CDM) Management
  • 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
• Cross-Functional Collaboration
  • 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

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:

• 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

Preferred Qualifications:

• 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

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. 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 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.