Revenue Integrity Analyst

Own the accuracy and integrity of the Epic charge description master, including charge codes, descriptions, CPT/HCPCS assignment, revenue codes, modifiers, units of service, and effective dating. Maintain fee schedule groups and pricing records; ensure price changes are applied to the correct entities. Maintain charge routing rules, charge triggers, and order-entry linkage.

Identify and pursue missing charges through late charge analysis, revenue and usage variance review, and department reconciliation exception reporting. Analyze reimbursement variances where the root cause is charge or CDM related. Monitor high-risk charging areas on a defined cadence for high-dollar areas. Develop and deliver role-based charge capture and reconciliation training for all end-users.

Serve as first-line consultant to clinical departments on how a new service, order, supply, or drug should be built, charged, and reconciled. Perform routine charge audits validating that services provided are documented, charged, coded, billed, and reimbursed correctly and consistently. Performs any other audits as requested.

Lead the annual pricing update process in partnership with Finance and Managed Care, including modeling of price change impact by payer, service line, and volume. Serve as operational lead to the Financial Integrity Committee. Ensure that build decisions are coordinated amongst all parties. Maintain a centralized log of CDM requests.