Revenue Integrity Automation Analyst (Epic)

The CSI Companies

Reno, NV(remote)

JOB DETAILS
SKILLS
Analysis Skills, Automation, Billing, Change Control, Charge Capture, Claims Management, Consulting, Content Management Systems (CMS), Cross-Functional, Customer Support/Service, Data Analysis, Documentation, Embedded Systems, Epic Certification, Epic Resolute (Patient Accounting), Epic Systems, Establish Priorities, Financial Management, Financial Systems, Healthcare, Healthcare Administration, Home Automation, Hospital, Information Technology & Information Systems, Internal Audit, Leadership, Logic Design, Medical Billing, Medical Coding, Network Integration, Problem Solving Skills, Process Improvement, Professional Services, Regulations, Regulatory Compliance, Regulatory Requirements, Reporting Skills, Return on Investment (ROI), Revenue Analysis, Root Cause Analysis, SQL (Structured Query Language), Systems Administration/Management, Systems Scalability, Trend Analysis, Validation Documentation, Validation Testing, Workflow Analysis
LOCATION
Reno, NV
POSTED
Today

CSI Companies is seeking a Revenue Integrity Automation Analyst (Epic) to support our client with the continued advancement of revenue cycle performance through automation, system optimization, and proactive revenue integrity controls. This role plays a key part in advancing ourclient's shift toward a proactive, technology-enabled revenue cycle, where revenue integrity is driven by automation, intelligent edits, and upstream control - not manual correction after the fact.You will be responsible for designing, building, and maintaining automated billing edits and revenue integrity workflows within Epic and related systems, with a focus on improving charge accuracy, reducing avoidable denials, and minimizing manual intervention. The Analyst will work closely with the Senior Director of Revenue Cycle and cross-functional leadership to ensure that revenue integrity is embedded upstream through scalable, system-driven controls.This is a highly visible role requiring both technical aptitude within Epic and a strong understanding of end-to-end revenue cycle operations across hospital and professional services. Location: Remote, must be US based
Schedule: Standard Business Hours
Pay: Competitive Market Rate
Job Type: Long-term consultant with potential to convert FTE
Reports To: Senior Director, Revenue Cycle Key ResponsibilitiesRevenue Integrity Automation & Strategy

  • Partner with Revenue Cycle leadership to identify, prioritize, and implement automation opportunities that strengthen revenue integrity controls.
  • Design and build automated billing edits, claim edits, and workqueue logic in Epic to prevent downstream denials and revenue leakage.
  • Shift revenue integrity efforts earlier in the revenue cycle by implementing upstream controls (e.g., charge capture validation, documentation-driven edits).
  • Continuously evaluate manual workflows and convert them into system-driven automation where feasible.
Epic Build & System Optimization
  • Configure and maintain Epic billing edits, rules, and workqueues across Hospital Billing (HB) and Professional Billing (PB) environments.
  • Collaborate with Epic Application teams and IT to deliver enhancements aligned to revenue integrity and financial performance goals.
  • Support testing, validation, and deployment of new system logic, upgrades, and optimization initiatives.
  • Integrate Epic functionality with clearinghouses, CDM tools, and third-party edit/automation solutions as applicable.
Denial Prevention & Revenue Performance
  • Analyze denial trends and billing edit performance to identify root causes and opportunities for proactive intervention.
  • Translate payer rules, regulatory requirements, and internal audit findings into actionable system edits and controls.
  • Partner with PFS, HIM/Coding, Compliance, and Clinical Operations to ensure alignment on edit logic and workflow design.
  • Support initiatives around:
    • Clean claim improvement
    • Charge capture accuracy
    • Late charge reduction
    • Underpayment identification
    • NCCI and modifier compliance
Data Analysis & Reporting
  • Develop reporting to monitor:
    • Billing edit volumes and outcomes
    • Workqueue performance and aging
    • Denial prevention effectiveness
    • Financial impact of automation initiatives
  • Provide data-driven recommendations to Revenue Cycle leadership.
  • Track and quantify ROI on automation and revenue integrity enhancements.
Governance & Compliance
  • Ensure all edits and system logic support compliant billing practices aligned with CMS, payer, and regulatory guidelines.
  • Support audit activity by documenting system controls and providing data analysis.
  • Participate in governance processes for change control, prioritization, and escalation of revenue integrity initiatives.
Required Qualifications
  • Bachelor's degree in Healthcare Administration, HIM, Finance, Information Systems, or related field (or equivalent experience).
  • 3-5+ years of experience in revenue cycle, revenue integrity, or Epic revenue cycle build/analysis.
  • Hands-on experience with Epic HB and/or PB, including:
    • Billing edits
    • Workqueues
    • Claim logic and rules configuration
  • Strong understanding of end-to-end revenue cycle processes, including charge capture, billing, claims, and denial management.
  • Demonstrated ability to translate operational challenges into system-based solutions.
  • Strong analytical and problem-solving skills with a focus on process improvements
Preferred Qualifications
  • Epic certification in HB, PB, Resolute, or related modules.
  • Experience in a health system environment (multi-facility, integrated delivery network).
  • Background in revenue integrity, CDM management, or billing compliance.
  • Experience with denial analytics, payer rule translation, and automation tools.
  • Familiarity with SQL, reporting tools, or healthcare analytics platforms.
Core Competencies
  • Revenue Integrity Strategy & Execution
  • Epic Optimization & Workflow Automation
  • Denial Prevention & Root Cause Analysis
  • Financial Performance Improvement
  • Cross-Functional Collaboration
  • Data-Driven Decision Making
  • Regulatory Compliance
About Us
The CSI Companies is a leading staffing and recruiting firm, providing healthcare organizations with highly skilled professionals since 1994. We have been recognized as a "Best of Staffing" award winner for over a decade, and we pride ourselves on delivering exceptional talent to leading healthcare organizations. For consideration, please submit your resume with relevant experience. Only candidates selected for interviews will be contacted. Benefits Offered:
  • Weekly pay
  • Medical, dental, and vision coverage
  • Voluntary Life and AD&D coverage
  • Paid Training
  • Opportunity for advancement upon performance and availability

About the Company

T

The CSI Companies

People solutions. Business results.
Some companies “get” business. Some “get” people. At The CSI Companies, we get the people business. And we get it right.

From the day we opened our doors in 1994, we have understood that staffing is about much more than simply delivering people to fill positions. It’s about delivering business results. And that means clearly understanding our clients’ objectives on the front end and applying comprehensive talent sourcing capabilities on the back end. We also pride ourselves on providing exceptional account management and responding quickly to our clients’ ever-evolving needs and challenges, which are major reasons for our solid growth.

Proven success
Headquartered in Jacksonville, Fla., we have expanded our reach to include three regional offices that provide national coverage. The CSI Companies has been named one of the 500 top-performing private companies in the nation by Inc. magazine, one of Florida’s 100 fastest-growing companies, one of Staffing Industry Report’s top 25 fastest-growing staffing firms in the nation, and one of Florida Trend’s Top Private Companies in the state.

We’re extremely proud to have been chosen recently by RECRUIT CO. LTD. to become part of its global staffing enterprise — the fourth-largest in the world.

Recognized ‘Best’
Our clients and job candidates are among our best promoters. CSI divisions earned Inavero’s Best of Staffing Awards for Client Service and for Job Candidate Experience in 2013-2017, achieving scores approaching four times better than the staffing industry average.

COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
EMPLOYEE BENEFITS
401K, Employee Referral Program
FOUNDED
1994
WEBSITE
https://thecsicompanies.com/