See all roles

Senior Revenue Integrity Analyst - Charge Build/Foundation

Work from home Full-time role Hiring

Building Location: Business Service Center Department: 1006210 REVENUE INTEGRITY - EH SS Job Description: The Senior Revenue Integrity Analyst – Charge Build/Foundation serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance. This role is responsible for ensuring the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. This position safeguards the structural integrity of the organization’s revenue cycle by overseeing new charge build requests, maintaining CDM accuracy, supporting regulatory updates, and ensuring standardized charge configuration across all facilities and service lines. This role works proactively and cross-functionally with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to prevent downstream denials, revenue leakage, and compliance risk. Education Qualifications: Key Responsibilities: Lead EPIC (HB/PB) charge build, including CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk Promote alignment with Epic Foundation principles and Epic Gold Standard workflows Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges Implement systemic corrections to prevent recurring issues Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives Education Requirements: Bachelor’s degree in a related field. Extensive relevant experience may be considered in lieu of formal education. Required Qualifications: Epic Resolute (HB and/or PB) experience 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance Strong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reporting Preferred Qualifications: Epic HB or PB certification CRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certification Experience leading charge standardization initiatives in an integrated health system Knowledge of payer contracts and reimbursement methodologies 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: $62,691.20 - $94,036.80 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. Apply To This Job

You might like

Account Manager

Work from home Full-time role

Director of Enterprise Accounts

Work from home Full-time role

Business Development Representative (BDR) – Chicago, IL

Work from home Full-time role

Account Executive Development Program - Virtual

Work from home Full-time role

Patient Access Liaison - Rare Disease - Central

Work from home Full-time role

Software Engineer

Work from home Full-time role

Billing EDI Analyst II

Work from home Full-time role

Data Integration Engineer

Work from home Full-time role

Certified Professional Coder

Work from home Full-time role

Senior Civil/Structural Engineer

Work from home Full-time role

Experienced Customer Service Representative – Work from Home Opportunity with arenaflex

Work from home Full-time role

Start Your Home-Based Customer Service Career - Up to $19 Per Hour | Remote Customer Support Advisor

Work from home Full-time role

Work From Home - Senior Complaints Coordinator - FDO Escalations - Fraud Account Management Investigations Solutions (FAMISE)

Work from home Full-time role

Experienced Data Entry Specialist – Remote Work Opportunity with arenaflex

Work from home Full-time role

Experienced Data Entry Specialist – Remote Opportunity with arenaflex

Work from home Full-time role

Work At Home Data Entry - Remote - Admin Assistant

Work from home Full-time role

[Hiring] Senior Clinical Trial Associate @Legend Biotech US

Work from home Full-time role

3D Artist for Game Development I

Work from home Full-time role

Enterprise Account Executive

Work from home Full-time role

Software Engineer, iOS Core Product - Sydney, Australia

Work from home Full-time role