Revenue Integrity Analyst

Job Description

Job Description

• 3-5 years of experience in Revenue Cycle (RCM) within a large hospital or integrated healthcare delivery system EPIC system experience

Experience with hospital charge description master

Knowledge of coding and billing guidelines, including CPT codes

Background in internal audit within healthcare o Familiarity with billing and coding compliance

Nice to Have Skills & Experience

Job Description

Insight Global is hiring two Revenue Integrity Analysts to join Virtua’s Revenue Cycle Operations team, which supports hospitals, hospice, home health, professional services, and all facets of the healthcare system. This position is responsible for optimizing the revenue cycle by evaluating, validating, and analyzing data trends to provide actionable insights across all levels of the organization. The team focuses on root cause analysis to ensure clean claims and accurate revenue capture. Analysts will conduct charge audits, identify workflow issues, monitor Epic work queues, review medical records for compliance, and document findings thoroughly. Additional responsibilities include running reports, analyzing trends, assisting with strategic pricing and CPT updates, and collaborating with Revenue Integrity, Finance, IT, and Clinical Operations teams to resolve revenue cycle challenges. The ideal candidate will have 3–5 years of experience within a large hospital or integrated healthcare delivery system, a strong understanding of Revenue Cycle Management (RCM), and experience with hospital charge description master, coding and billing guidelines (including CPT codes), and internal audit processes. Technical expertise in Epic is strongly preferred, particularly in modules such as HB, PB, Resolute, Cadence, Prelude, and Grand Central, along with the ability to manage work queues and perform root cause analysis for charge errors. This role requires excellent communication skills, strong analytical ability, and a commitment to teamwork in a collaborative environment. Candidates should be self-starters, eager to learn, receptive to feedback, and dedicated to continuous growth. A bachelor’s degree in accounting, Finance, or Healthcare is required.