Revenue Integrity Analyst

🔥 13 hours ago

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Lead audit and project evaluations reviewing medical records for charge accuracy, coding assignments, billing compliance, and medical necessity • Collaborate with coding and financial departments to identify revenue opportunities under payer guidelines • Meet with departmental leadership to review findings, documentation standards, and improvement recommendations • Identify charge trends and compile information for focused departmental reviews • Monitor EPIC Revenue Integrity Dashboards • Provide coding, documentation, regulatory, and compliance guidance • Deliver group and one-on-one training on charge accuracy, coding/billing compliance, and DTAR/Charge Reconciliation • Maintain current knowledge of Charge Description Master, Charge Preference List, and Flowsheet Charging • Attend coding conferences, workshops, and in-house sessions to stay current with regulatory and coding changes • Contribute to process improvement initiatives and KPI performance objectives • Support revenue cycle operational efficiency, regulatory compliance, proper reimbursement, charge capture, and claim production

🎯 Requirements

• Comprehensive knowledge of healthcare revenue cycle operations, including charge capture, coding, billing compliance, reimbursement, and claim production • Strong analytical skills • Commitment to data integrity • Proficiency in Epic and Microsoft Office • Extensive revenue cycle experience • Must reside in Missouri, Illinois, Oklahoma, or Wisconsin • Bachelor’s degree or equivalent combination of education and experience • Three years’ experience within a hospital organization or physician practice environment • Frequent keyboard use/data entry • Ability to perform listed physical activities, including lifting/carrying and pushing/pulling objects up to 50 lbs. • No professional license or certification required

🏖️ Benefits

• Full-time schedule, Monday-Friday, day shift • Flexible start time between 6:30am and 8:30am • Remote work eligibility in accordance with SSM policies • Opportunities for personal and professional growth • Supportive work environment • Diversity, innovation, and collaboration-focused culture