Revenue Integrity Analyst

Revenue Integrity Analyst

We are seeking a Revenue Integrity Analyst to join our client in the healthcare space. This position is fully onsite in Milwaukee and is a contract-to-hire opportunity, offering the chance to transition into a permanent role.

Key Responsibilities

Perform daily activities of the revenue integrity program, ensuring accurate charge capture and adherence to compliance standards.

Conduct revenue integrity reviews, present findings, and recommend corrective actions.

Act as a liaison with CDM Management teams to support the maintenance and accuracy of the Charge Description Master (CDM).

Support and maintain reporting for all charge capture activities, including CDM maintenance and workflow communications to clinical departments.

Monitor national, state, and local regulatory and legislative changes, tailoring the revenue integrity program accordingly.

Serve as a resource for organizational and operational matters related to revenue integrity issues.

Maintain reporting and tracking of revenue integrity initiatives, including status and reimbursement outcomes.

Research topics for revenue integrity education and training programs to support organizational learning.

Requirements

High School diploma or equivalency with 2 years of cumulative experience OR Associate's / Bachelor's degree OR 4 years of relevant job-specific experience.

Preferred experience in billing, A / R follow-up, and denials management.

Deep healthcare experience is necessary.

Strong skills in at least one of the following areas : Supply Chain, Clinical, Coding, or General Ledger.

Knowledge of strategic pricing and reimbursement is extremely helpful.

Ability to work collaboratively in a developing role and adapt to evolving responsibilities.

Soft Skills / Personality

Easygoing, collaborative, and flexible.

Comfortable working in a role that requires initiative and problem-solving.

Strong communicator and resourceful team member, willing to support cross-functional projects.