Revenue Integrity Analyst III

INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Revenue Integrity Analyst III in Oklahoma City, OK. In this position, you'll work with our Revenue Integrity Team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

The Revenue Integrity Analyst III serves as a senior subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues. This position leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts. The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.

• Advanced Revenue Risk Analysis

Leads investigations of systemic billing edits, high-dollar revenue discrepancies, and specialty-specific coding risks; develops recommendations for long-term corrective action.
- Strategic Charge Capture Leadership

Designs and oversees charge capture improvement projects across multiple service lines; ensures sustainable improvements to documentation, charging practices, and Epic workflows.
- Enterprise Reporting & Analytics

Develops advanced dashboards and predictive analytics models to monitor denial trends, charge lag, missed charges, and net revenue opportunities. Provides actionable insights to senior leadership.
- Financial Modeling & ROI

Performs complex cost-benefit analyses to evaluate the financial impact of revenue improvement proposals, payer policy changes, and operational redesigns.
- Audit & Payer Escalation Support

Leads payer and internal audits, ensuring thorough documentation, effective responses, and sustainable corrective actions. Supports escalations of payment policy or denial issues to senior payer relations leadership.
- Compliance & Governance Leadership

Collaborates with Compliance, Legal, and CDM teams to establish governance structures, implement billing corrections, and ensure adherence to corporate initiatives and regulatory requirements.
- Service Line & Enterprise Expertise

Serves as the senior analyst for multiple high-volume or high-risk service lines; acts as a system resource on complex reimbursement and compliance challenges.
- Operational Leadership & Mentorship

Leads quarterly and ad-hoc reviews with operational executives to present findings and recommendations. Mentors Analysts I and II, providing technical guidance, coaching, and quality assurance for their work.

REQUIRED QUALIFICATIONS

EXPERIENCE:

• Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis.
• Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis.

EDUCATION:

• Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or related field.

LICENSE/CERTIFICATIONS:

• Active certification in one or more of the following: CCS, CPC, CMC, RHIT, RHIA.

SKILLS:

• Expert-level knowledge of hospital and physician billing, coding, and reimbursement methodologies.
• Proven experience leading revenue integrity projects with measurable ROI.
• Advanced proficiency with Epic and revenue cycle analytics platforms.
• Demonstrated ability to analyze complex financial data and communicate strategic insights.
• Strong leadership, coaching, and cross-functional collaboration skills.
• Strategic problem-solving with enterprise-level perspective.
• Ability to lead systemwide initiatives and build governance structures.
• Strong presentation skills for senior executives and cross-functional committees.
• Effective mentor and coach for junior staff.
• Results-driven with proven track record of improving net revenue and compliance.
• Regularly required to sit, work on a computer, and attend meetings in person and virtually.
• Requires manual dexterity, visual acuity, and ability to communicate effectively.
• May require occasional travel between facilities for leadership meetings or audits.
• Hybrid office-based role with flexibility as approved by department leadership.
  Minimal exposure to clinical environments; primary exposure to office and virtual meeting settings.

PREFERRED QUALIFICATIONS

EXPERIENCE:

• Experience in payer contract analysis and denial prevention strategies strongly preferred.