Revenue Integrity Analyst

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🔥 0 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 12%

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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

• Collaborate with clinical departments, coding, finance, and IT to resolve discrepancies, reduce revenue leakage, and maintain charge integrity • Partner with charge-generating departments to ensure accurate and timely charge capture, revenue reconciliation, and optimal reimbursement • Review charges and documentation to identify missed revenue • Ensure Charge & Revenue Reconciliation is consistently performed • Assist clinical and operational teams with charge discrepancies and denials related to charge capture • Evaluate new services or procedural updates and ensure appropriate charge triggers are efficient • Conduct root cause analyses and provide data-driven recommendations for revenue cycle departments • Educate departments on charge capture expectations, regulatory updates, and revenue reconciliation • Participate in workflow improvement projects affecting charge capture and reimbursement • Communicate findings and trends to management and relevant departments • Maintain knowledge of payer policies and compliance requirements • Make decisions involving non-routine problems under general supervision • Work with patients, customers, healthcare professionals, and staff via telephone or face-to-face interaction

🎯 Requirements

• High school diploma or GED required • Bachelor’s degree in Business, Finance, Healthcare Administration, or related field preferred • Minimum 3 years of Financial Analysis, Healthcare Revenue Cycle, Revenue Integrity, or Reimbursement experience • Knowledge of Microsoft 365 and other applicable software • Strong knowledge of Epic, including basic reporting tools, system navigation, and workflows • Working knowledge of CPT, HCPCS, revenue codes, APC/DRG concepts, and payer billing rules • Knowledge of healthcare regulatory requirements • Strong organizational skills and attention to detail • Excellent written and verbal communication skills • Ability to analyze financial and operational data • Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines • Certified Revenue Cycle Representative (CRCR) from HFMA and Epic Certifications preferred; no licensure, registration, or certification required

🏖️ Benefits

• Full-time employment • Equal employment opportunity protections for veterans and people with disabilities