Revenue Integrity Analyst jobs in United States
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Aspire Rural Health System · 1 month ago

Revenue Integrity Analyst

positionCass City, MI
timeFull-time
remoteOnsite
seniorityMid Level
date3+ years exp

Aspire Rural Health Systems is seeking a full-time Revenue Integrity Analyst to join their dedicated team of healthcare professionals. This role focuses on supporting the financial performance of a Critical Access Hospital system by ensuring accurate charge capture and coding integrity while collaborating with various teams to enhance workflow and revenue cycle processes.

Health CareHospitalMedical

Responsibilities

The Epic HB & PB Revenue Integrity Analyst supports the financial performance of a three-facility Critical Access Hospital (CAH) system by ensuring accurate, compliant, and optimized charge capture, coding integrity, workflow design, and revenue cycle processes within Epic
This role serves as a liaison between clinical operations, revenue cycle teams, coding, billing, and IT to identify workflow gaps, recommend solutions, and maintain charge integrity across both hospital billing (HB) and professional billing (PB) environments
The Analyst plays a key role in monitoring charging accuracy, resolving systemic issues, creating and maintaining Epic build related to charging and workflows, and supporting regulatory and reimbursement requirements specific to CAH environments (Method II billing, cost-based reimbursement, modifier usage, and CAH-specific charging rules)

Qualification

Epic Resolute HBPBRevenue Integrity experienceMedicare/Medicaid billingCharge CaptureCPT/HCPCS knowledgeAnalytical skillsTroubleshooting skillsClinical workflow interpretationProblem-solving skills

Required

Bachelor's degree in Health Information Management, Business, Finance, Healthcare Administration, IT, or related field; or equivalent experience
3–5 years of experience in Revenue Integrity, Coding, Charge Capture, or Epic Revenue Cycle
Strong knowledge of Epic Resolute HB and PB functionality
Understanding of Medicare/Medicaid billing rules, CAH billing environments, revenue codes, CPT/HCPCS, and modifiers
Ability to interpret clinical workflows and translate them into charging processes
Strong analytical, problem-solving, and troubleshooting skills

Benefits

Full Benefits

Company

Aspire Rural Health System

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Aspire Rural Health System delivers healthcare services through a network of hospitals and providers in multiple counties.
dateFounded in 2024
location
Cass City, Michigan, USA
people-size1001-5000 employees
web-link
https://aspirerhs.org

Funding

Current Stage
Late Stage

Leadership Team

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Angela McConnachie
Co-CEO Aspire Rural Health System
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Recent News

PR Newswire
PRIVACY ALERT: Aspire Rural Health System Under Investigation for Data Breach of Over 100,000 Patient Records
2025-08-25
PR Newswire
DATA BREACH ALERT: Edelson Lechtzin LLP is Investigating Claims on Behalf of The Aspire Rural Health System Customers Whose Data May Have Been Compromised
2025-08-22
Morningstar.com
Lynch Carpenter Investigates Claims in Aspire Rural Health Systems Data Breach
2025-08-22
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