Senior Revenue Integrity Analyst

Job not on LinkedIn

🕒 July 17

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

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Saint Francis Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1960

🏥 Healthcare

🏨 Hospitality

🤝 Non-profit

Healthcare • Hospitality • Non-profit

Saint Francis Health System is a healthcare organization based in Tulsa, Oklahoma that operates multiple hospitals, clinics, specialty centers, and support services across eastern Oklahoma. It offers a broad range of clinical services including primary care, cardiology and heart & vascular services, cancer care, neurosciences, behavioral and mental health, orthopedic care, women’s and pediatric care, imaging & lab services, rehabilitation, hospice and home care, trauma services, and specialty institutes (e. g. , Heart and Vascular Institute, Trauma Institute, Children’s Hospital). The system provides urgent care, virtual urgent care, in-home urgent care via DispatchHealth, emergency care including a pediatric emergency center, and many outpatient clinics and diagnostic services. It also supports physician services, medical education (OSU residency partnership), community outreach, financial assistance, patient billing/price transparency, charitable giving, and volunteer programs. The organization lists locations, patient resources, MyChart patient portal, and administrative functions (careers, supplier info, privacy and compliance notices).

📋 Description

• Serves as a subject-matter expert in charge capture, charge workflow optimization, revenue reconciliation, and the evaluation of new or enhanced services. • Leads complex investigations into revenue leakage. • Develops and implements corrective action plans. • Supports enterprise-wide process improvements. • Partners closely with clinical operations, coding, finance, IT, and revenue cycle leadership to ensure accurate charging practices within Epic. • Reviews proactively Epic charging logic, including charge triggers, routing rules, and work queue management. • Conducts advanced analytics to identify financial variances, operational gaps, and revenue risk. • Partners with coding, clinical leadership, finance, and IT to design and implement improvements to charge capture and billing processes. • Designs and leads development of complex reports, dashboards, and analyses. • Provides training, mentorship, and guidance to Revenue Integrity Analysts and department staff. • Leads or co-leads enterprise initiatives related to charge workflows, revenue integrity, regulatory readiness, or service-line reviews.

🎯 Requirements

• 5 years of Billing, Charge Capture, Charge Description Master (CDM) Management, Revenue Cycle Analytics, or Revenue Integrity within Healthcare experience. • Advanced knowledge of charge capture processes, charge router logic, charging methodologies, and clinical workflows. • Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies. • Strong understanding of Epic workflows, including charge router, charge review, work queues, and Charge Description Master (CDM) integration. • Strong data analysis capabilities, including with large datasets, financial modeling, and root-cause analysis. • Knowledge of healthcare regulatory requirements and revenue cycle operations. • Strong leadership and collaboration skills. • Excellent communication skills, both written and verbal that present clear and concise information. • Effective organizational skills and attention to detail. • Ability to educate and mentor staff, influence decision-makers, and communicate technical concepts to non-technical audiences. • Ability to independently manage complex projects, timelines, and cross-functional deliverables.

🏖️ Benefits

• None