Revenue Integrity Analyst Revenue Cycle Full Time

Come work at the best place to give and receive care!

Job Description:

Who We Are:

Southern New Hampshire Health has been a cornerstone of the region since 1893 delivering high-quality compassionate care close to home. Anchored by Southern New Hampshire Medical Centera 188-bed DNV-accredited hospital in downtown Nashua with a Level III-N trauma center Level II Special Care Nursery and Magnet designation for nursing excellencewe offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners our multi-specialty group spans 70 practices across southern New Hampshire and northern Massachusetts providing coordinated patient-centered care to thousands each year.

About the Job:

Title: Revenue Integrity Analyst
Department: Revenue Cycle
Reports To: Director of Revenue Integrity and Analytics
Status: Non-Exempt

The Revenue Integrity Analyst ensures accurate charge capture coding and billing across the revenue cycle to optimize reimbursement and maintain compliance. This role involves auditing data analysis and collaboration with clinical and financial teams to identify revenue opportunities support charge reconciliation resolve denials and uphold regulatory standards.

What Youll Do:

• Validate charges and coding accuracy by reviewing patient records charge tickets and system data.

• Maintain and update the Charge Description Master (CDM) and fee schedules.

• Conduct audits (prospective and retrospective) to detect errors or omissions.

• Perform root cause analysis on denials and revenue variances; implement corrective actions.

• Monitor work queues and resolve issues in Epic or other EHR systems.

• Ensure compliance with CMS AMA CPT ICD-10 and payer-specific guidelines.

• Review CPT updates and coordinate timely implementation.

• Prepare reports on audit findings revenue trends and reimbursement impact.

• Recommend process improvements leveraging data analytics.

• Communicate findings and recommendations to leadership through reports and dashboards.

• Collaborate with clinical finance and IT teams to resolve revenue cycle issues.

Who You Are / Requirements:

• Education: High School diploma or equivalent required; Associate degree or higher in healthcare administration business finance HIM preferred.

• Experience: 13 years in revenue integrity hospital/professional billing or healthcare analytics required; Epic experience required.

• Licensure/Certification: CPC COC and/or RHIA preferred.

• Knowledge: Strong understanding of reimbursement payer policies CDM CPT/ICD coding and audit readiness.

• Skills: Advanced Excel and reporting tools (pivot tables dashboards data visualization).

• Abilities: Effective communication with clinical operational and executive stakeholders; ability to work independently on multiple priorities.

Why Youll Love Us:

• Health dental prescription and vision coverage for full-time & part-time employees

• Short-term long-term disability life & pet insurance

• Tuition & certification reimbursement (up to $4000/year)

• Nursing Student Loan Paydown Program (up to $20000)

• 403(b) Retirement savings plans with company matching

• Continuous earned time accrual

• & So much more!

Work Shift:

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation disability status veteran status or any other characteristic protected by law.