Remote Revenue Integrity Analyst

Revenue Integrity Analyst

Required

Skills & Experience:

5+ years of Revenue Integrity experience, Epic experience required, Coding certification required: CPC or CCS, Strong understanding of hospital coding and charge capture workflows, Focus on payer audits and payer underpayments, Understanding of CMS regulations for multiple service lines including Cardiology, radiation oncology, diagnostic radiology, Working experience with servicing physician queries and creating action plans from denial reports.

Job Description:

Insight Global is seeking a Revenue Integrity Analyst to support the Revenue Integrity department and serves as the key liaison and subject matter expert on all aspects of hospital charge capture and entry, charge integrity and charge reconciliation processes. This role partners with clinical and operational leaders to drive charge capture and integrity improvement initiatives, including charge reconciliation, new service implementation, CDM and payer audits, and identification of revenue optimization opportunities.

The analyst ensures billing compliance and accurate charge capture through education, auditing, monitoring of regulatory and coding changes, and analysis of charge-related metrics, with a focus on minimizing revenue leakage and supporting compliant reimbursement. Focus on payer audits and payer underpayments.