Revenue Integrity Analyst II

Building Location: Business Service Center Department: 1006210 REVENUE INTEGRITY - EH SS Job Description: Revenue Integrity Analyst II performs advanced charge analysis, CDM governance support, charge reconciliation oversight, and denial root cause investigation across hospital and/or professional services. This role independently manages moderate-to-complex revenue integrity initiatives and partners directly with operational leaders to resolve systemic charge capture and compliance issues. The Analyst II serves as a subject matter resource for Epic charge build workflows, reconciliation controls, and regulatory billing requirements. Education Qualifications: Key Responsibilities • Conduct detailed charge reviews for high-risk departments (e.g., surgery, ED, infusion, radiology). • Review and validate Epic charge build elements including CPT/HCPCS, revenue codes, modifiers, and routing logic. • Monitor and investigate reconciliation variances and charge lag trends. • Perform root cause analysis for charge-related denials and implement corrective recommendations. • Assist with CDM standardization and regulatory update implementation. • Develop and maintain revenue integrity dashboards and KPIs. • Identify revenue leakage patterns and propose workflow or system improvements. • Provide education and guidance to operational leaders on charge capture and compliance expectations. • Participate in cross-functional projects with Finance, Coding, Compliance, and IT. Required Qualifications • Bachelor’s degree in Healthcare Administration, Finance, Business, or related field (or equivalent experience) • 3–5 years of experience in Revenue Integrity, Revenue Cycle, Coding, CDM Maintenance, Healthcare Finance, or related field • Strong knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, NCCI/MUE edits relating to health care services Preferred Qualifications • Strong knowledge of clinical and business structures of a complex, integrated healthcare delivery system • Experience with Epic Resolute preferred • Advanced Excel and analytical skills; experience with all Microsoft Office applications preferred Licensure/Certification Qualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Days Shift End Time: Days Weekends: NO Holidays: No Call Obligation: No Union: Union Posting Deadline: Compensation Range: $57,345.60 - $86,028.80 Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.