Revenue Integrity Analyst

Summary/Objective

Under general supervision, the Revenue Integrity Specialist is the operating muscle of the charge capture engine. Day to day, this individual reviews charge tickets (both paper scanned and electronic feeds from EHR) against clinical documentation, applies Omega charge capture guidelines to validate or correct the charge, reconciles charges to encounters, surfaces missed charges, and supports the dashboarding effort by feeding clean, categorized exception data upstream. The Specialist works across hospital and physician charging contexts, with a working understanding of CPT, HCPCS, ICD-10-CM, modifiers, revenue codes, and place of service implications.