Revenue Integrity Analyst II

The Revenue Integrity Analyst II ensures accurate revenue capture, payer compliance, and optimized reimbursement for the health system. Investigates and analyzes high-impact billing edits, recurring revenue discrepancies, and coding/documentation risks to identify trends, root causes, and corrective actions. Leads in-depth charge capture reviews; collaborates with departments to implement improvements in documentation, charging practices, and revenue accuracy. Develops, analyzes, and presents dashboards and reports highlighting denial trends, charge lag, missed charges, net revenue performance, and other key revenue metrics. Performs cost-benefit analyses for revenue improvement proposals, workflow redesigns, and operational strategies. Participates in payer and internal audits; prepares required documentation, supports responses, and assists in corrective action planning. Partners with Compliance and CDM teams to monitor risks, implement billing corrections, and support enterprise-wide initiatives. Acts as the designated analyst for assigned high-volume or complex service lines, providing specialized monitoring, analytics, and recommendations. Leads quarterly reviews with operational leaders, presenting findings, trends, risks, and opportunities for improvement. Requirements Five (5) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Eight (8) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications AHIMA-CCS or AAPC-CPC or CMC or AHIMA-RHIT or AHIMA-RHIA in lieu of Bachelor’s degree Strong knowledge of hospital and physician billing, coding, and reimbursement methodologies. Proficiency in revenue cycle systems (Epic preferred), Excel, and data visualization/reporting tools. Ability to analyze large data sets, identify trends, and present findings clearly. Proven ability to lead initiatives that improve charge capture, reduce denials, and strengthen compliance. Core Competencies Demonstrates expertise in revenue cycle management, billing compliance, and healthcare reimbursement, with a strong focus on data analysis and trend identification to enhance revenue accuracy and operational efficiency. Highest-signal resume keywords Revenue Cycle Management Healthcare Reimbursement Data Analysis Charge Capture Improvement Billing Compliance ATS Optimization Keywords Hard Skills Revenue Cycle Systems Billing Methodologies Coding Financial Analysis Cost-Benefit Analysis Data Visualization Trend Analysis Documentation Improvement Operational Strategy Dashboard Development Soft Skills Collaboration Presentation Skills Analytical Thinking Problem Solving Leadership Certifications & Qualifications AHIMA-CCS AAPC-CPC CMC AHIMA-RHIT AHIMA-RHIA Industry Keywords Healthcare Billing Compliance Revenue Integrity Payer Compliance Charge Lag Denial Trends Revenue Metrics Operational Audits Documentation Risks Service Line Analysis Tools & Technologies Epic Excel Data Reporting Tools #J-18808-Ljbffr