Job DescriptionJoin our team as a Revenue Integrity Analyst III at INTEGRIS Health based in Oklahoma City, OK. This role is focused on Operational Support Analysis.
ResponsibilitiesThe Revenue Integrity Analyst III serves as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues. This position leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts. The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.
- Advanced Revenue Risk Analysis
Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action. - Strategic Charge Capture Leadership
Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows. - Enterprise Reporting & Analytics
Develops advanced dashboards and predictive analytics models to monitor denial trends, charge lag, missed charges, and net revenue opportunities. Provides actionable insights to senior leadership. - Financial Modeling & ROI
Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns. - Audit & Payer Escalation Support
Leads payer and internal audits, ensuring thorough documentation, effective responses, and sustainable corrective actions. Supports escalations of payment policy or denial issues to senior payer relations leadership. - Compliance & Governance Leadership
Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements. - Service Line & Enterprise Expertise
Serves as the senior analyst for multiple high-volume or high-risk service lines; acts as a system resource on complex reimbursement and compliance challenges. - Operational Leadership & Mentorship
Leads quarterly and ad-hoc reviews with operational executives to present findings and recommendations. Mentors Analysts I and II, providing technical guidance, coaching, and quality assurance for their work.
QualificationsREQUIRED QUALIFICATIONSEXPERIENCE:- Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification
EDUCATION:- Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications
LICENSE/CERTIFICATIONS:- AHIMA-CCS or AAPC-CPC or CMC or AHIMA-RHIT or AHIMA-RHIA in lieu of Bachelor's degree
SKILLS:- Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies.
- Proven experience leading revenue integrity projects with measurable ROI.
- Advanced proficiency with Epic and revenue cycle analytics platforms.
- Demonstrated ability to analyze complex financial data and communicate strategic insights.
- Strong leadership, coaching, and cross-functional collaboration skills.
- Strategic problem-solving with enterprise-level perspective.
- Ability to lead systemwide initiatives and build governance structures.
- Strong presentation skills for senior executives and cross-functional committees.
- Effective mentor and coach for junior staff.
- Results-driven with proven track record of improving net revenue and compliance.
- Regularly required to sit, work on a computer, and attend meetings in person and virtually.
- Requires manual dexterity, visual acuity, and ability to communicate effectively.
- May require occasional travel between facilities for leadership meetings or audits.
- Hybrid office-based role with flexibility as approved by department leadership.
- Minimal exposure to clinical environments; primary exposure to office and virtual meeting settings.
PREFERRED QUALIFICATIONSEXPERIENCE:- Experience in payer contract analysis and denial prevention strategies strongly preferred.
