Join our team as a Revenue Integrity Analyst III at the INTEGRIS Health 5300 Building in Oklahoma City, OK.
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INTEGRIS Health, Oklahoma''s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
Take your first step toward growing your career by joining us.
INTEGRIS Health mission: Partnering with people to live healthier lives.
To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state''s best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.
INTEGRIS Health is the state''s largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
REQUIRED QUALIFICATIONS
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PREFERRED QUALIFICATIONS
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INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The 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.
Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action.
Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows.
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.
Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns.
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.
Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements.
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.
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.
The 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.
Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action.
Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows.
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.
Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns.
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.
Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements.
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.
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.