Senior Revenue Integrity Analyst - Charge Build/Foundation

Job description

Building Location:

nBusiness Service Center

nDepartment:

n REVENUE INTEGRITY - EH SS

nJob Description:

nEssentia is looking for a Senior Revenue Integrity Analyst who serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance.

nEducation Qualifications:

nThis role is responsible for ensuring the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. This position safeguards the structural integrity of the organization's revenue cycle by overseeing new charge build requests, maintaining CDM accuracy, supporting regulatory updates, and ensuring standardized charge configuration across all facilities and service lines. This role works proactively and cross-functionally with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to prevent downstream denials, revenue leakage, and compliance risk.

nKey Responsibilities:

nnnLead EPIC (HB/PB) charge build, including CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services

n

nnMaintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy

n

nnPartner with IT and Clinical Informatics to ensure compliant and optimized charge setup

n

nnEstablish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk

n

nnPromote alignment with Epic Foundation principles and Epic Gold Standard workflows

n

nnOversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges

n

nnImplement systemic corrections to prevent recurring issues

n

nnConduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders

n

nnDevelop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions

n

nnServe as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives

n

n nEducation Requirements:

nnnBachelor's degree in a related field.

n

nnExtensive relevant experience may be considered in lieu of formal education.

n

n nRequired Qualifications:

nnnEpic Resolute (HB and/or PB) experience

n

nn5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance

n

nnAdvanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance

n

nnStrong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reporting

n

n nPreferred Qualifications:

nnnEpic HB or PB certification

n

nnCRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certification

n

nnExperience leading charge standardization initiatives in an integrated health system

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nnKnowledge of payer contracts and reimbursement methodologies

n

n nLicensure/Certification Qualifications:

nFTE:

n1

nPossible Remote/Hybrid Option:

nRemote

nShift Rotation:

nDay Rotation (United States of America)

nShift Start Time:

n8:00am

nShift End Time:

n5:00pm

nWeekends:

nNO

nHolidays:

nNo

nCall Obligation:

nNo

nUnion:

nCompensation Range:

n$62,691.20 - $94,036.80

nEmployee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at .

nIt is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.

Worksite address

duluth, MN, 55806, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.