Dayton Children's Hospital · 1 month ago
Senior Revenue Integrity Analyst
United States
Full-time
Remote
Senior Level
6+ years expDayton Children's Hospital is seeking a Senior Revenue Integrity Analyst responsible for overseeing the performance of revenue integrity analysts and ensuring compliance in billing practices. This role includes maintaining the chargemaster, applying regulatory changes, and providing analytical support for revenue-related items.
Child CareHealth CareHospital
Responsibilities
Responsible for planning and oversight of the revenue integrity analysts’ performance of essential department accountabilities, including reporting to department leadership about goal status
Responsible for all aspects related to revenue integrity, including maintaining work queues, understanding, and applying yearly regulatory changes, maintaining the chargemaster, and preventing revenue leakage
Works accounts in assigned Revenue Integrity work queues to facilitate accurate, compliant billing of patient accounts and assists revenue integrity analysts with completion of tasks and work queues
Responsible for establishing and enforcing the hospitals’ pricing, coding, and regulatory changes
Needs to have knowledge of how billing and the CDM interacts for chargemaster build and will assist in hospital decision making related to chargemaster requests
Provides operational analytical support with regards to reimbursement, charge lag, revenue trends, and other revenue related items
Coordinates and collaborates the above actions with, but not limited to, Health Information Management, Information Systems, Billing, Finance and Operations
Qualification
Required
Bachelor's degree in Health Information Management, Finance or related field required
Masters preferred
6-10 years of revenue integrity, analyst, etc. experience in healthcare
Experience with EPIC electronic health record
EPIC CDM/Revenue Integrity (HB and PB) certification within 6 months of employment required
Ability to research CPT and regulatory requirements
Experience with CPT and HCPCS codes and interpreting CPT guidance
Experience in healthcare billing, CMS Medicare and Medicaid reimbursement methodologies
Proficiency in Microsoft Office Tools (Outlook, Excel)
Preferred
Trisus (Craneware) chargemaster experience
Strata experience
Registered Health Information Administrator (RHIA) Certification
Company
Dayton Children's Hospital
Dayton Children Hospital is a healthcare institution located in Dayton.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$0.07MKey Investors
OneOhio Recovery FoundationAES Ohio Foundation
2025-01-16Grant
2024-01-30Grant· $0.07M
Leadership Team
Deborah Feldman
President and CEO
Chris Bergman
Chief Financial Officer
Recent News
Dayton Daily News
2025-12-31
Dayton Daily News
2025-11-08
2025-10-28
Company data provided by crunchbase