Senior Revenue Integrity Analyst

Essentia Health is seeking a Senior Revenue Integrity Analyst to drive accurate reimbursement and strengthen revenue cycle performance. In this role, you will analyze claims, charge capture, and coding patterns to identify revenue leakage and compliance risks across hospitals and clinics. You'll partner with clinical, coding, and finance teams to recommend corrections, standardize charge practices, and implement process improvements. This position supports strategic decision-making through detailed reporting, trend analysis, and education, helping ensure patient-centered, compliant, and financially sustainable care.

Responsibilities

• Analyze claims, charges, and reimbursement data to identify revenue leakage and optimization opportunities.
• Review coding, charge capture, and billing processes for accuracy and regulatory compliance.
• Develop and present reports, dashboards, and trends to leadership and key stakeholders.
• Collaborate with clinical, coding, and finance teams to resolve revenue and compliance issues.
• Lead or support internal audits and root-cause analysis of denials or underpayments.
• Recommend and implement process improvements and standardization across service lines.
• Provide education and guidance to staff on revenue integrity, documentation, and billing practices.
• Monitor payer rules and regulatory changes affecting reimbursement and revenue cycle performance.

Required Skills

• Healthcare revenue cycle analysis
• Medical billing and coding (ICD-10, CPT, HCPCS)
• Data analysis and reporting
• Electronic health record (EHR) systems
• Medicare/Medicaid and commercial payer rules
• Charge capture review
• Compliance and audit methodologies
• Excel and data visualization tools
• Denials management
• Process improvement