Senior Revenue Integrity Analyst

Scheduled Weekly Hours:

Emplify Health is looking to hire two Senior Revenue Integrity Analysts to join our team!

The Senior Revenue Integrity Analyst is a key member of the Mid-Revenue Cycle team, responsible for driving revenue optimization, compliance, and financial performance across highly complex service lines. This senior-level role serves as a subject matter expert in healthcare reimbursement, charge capture, and billing integrity. The Senior Analyst provides mentorship to peers, supports onboarding of new team members, and leads initiatives that improve financial performance, regulatory compliance, automation, and operational efficiency.

This role requires a deep understanding of the full revenue lifecycle and the ability to interpret and respond to evolving healthcare regulatory changes. The Senior Analyst must be comfortable presenting financial and operational data to executive leadership and guiding strategic decisions based on data-driven insights.

Responsibilities Include:

• Serve as a lead resource for complex billing, reimbursement, and charge capture scenarios across inpatient, outpatient, professional, and provider-based services.

• Analyze highly specialized and high-revenue service lines to ensure accurate reimbursement, charge capture, and compliance with payer regulations.

• Monitor and interpret healthcare regulatory changes, assessing their impact on revenue integrity and recommending organizational strategies in response.

• Present financial performance, data trends, and strategic recommendations to executive leadership.

• Mentor analysts by providing guidance, training, and subject matter expertise; actively participate in onboarding new team members.

• Partner with clinical and operational leadership to design and implement charge reconciliation workflows that minimize revenue leakage and mitigate financial risk.

• Collaborate with Finance, Compliance, and Revenue Cycle leadership to evaluate policies and develop strategies that support accurate billing and reimbursement.

• Partner with ITDS to drive Epic automation, optimize revenue integrity workflows, and support innovation that reduces manual processes and improves efficiency.

• Collaborate with Revenue Cycle Analytics to assess the net revenue impacts of regulatory changes and payer policy updates.

• Monitor the financial performance of the enterprise in relation to charge capture, identifying areas of underperformance and recommending corrective action.

• Lead or co-lead multidisciplinary committees and workgroups, serving as a trusted advisor on revenue integrity best practices.

• Oversee complex Epic Revenue Guardian edits, dashboards, and work queues, ensuring timely resolution of revenue integrity issues.

• Identify, scope, and lead projects that improve workflows, standardize practices, and enhance overall revenue performance.

• Develop and deliver advanced staff education on reimbursement methodologies, government and payer regulations, and best practices in revenue integrity.

• Build and maintain strong cross-functional relationships to support alignment of revenue cycle processes with organizational strategy.

What's Available:

• Fulltime, 80 hours biweekly (1.0 FTE)

• Monday-Friday core business hours

• Remote work options for residents in WI, MN, or IA only, with occasional need to work onsite for support initiatives

An Ideal Candidate Will Have:

• Education: Bachelor's degree in Business, Healthcare Administration, Finance, or related field preferred; equivalent relevant experience may be considered in lieu of degree.

• Experience: Minimum 7 years of progressive experience in healthcare revenue integrity, reimbursement, or revenue cycle operations required.

• Certifications: Coding or revenue cycle certification required (e.g., CCS, CCS-P, CPC, RHIT, RHIA, CHRI).

• Analytical Thinking: Ability to interpret complex data and provide actionable insights.

• Communication: Strong verbal and written communication skills; comfortable presenting to executive leadership.

• Collaboration: Builds strong cross-functional relationships and works effectively in team settings.

• Adaptability: Thrives in a dynamic environment with evolving regulations and priorities.

• Problem-Solving: Proactively identifies issues and develops innovative solutions.

• Attention to Detail: Ensures accuracy in charge capture, compliance, and financial reporting.

In addition to this important work, we offer a competitive total reward package:

• Benefits:In addition to medical and dental, we have pet insurance and a substantial contribution to retirement

• Work/life balance:24/7 Employee Assistance Program for employees and their families, generous PTO and paid holidays

• Professional Development:Tuition Invest Program totaling up to $3k per year, access to a catalogue of hundreds of internal courses, corporate incubator, Career Development Center

• DEI:12 months of Celebration to include monthly educational events

If you are looking to be a part of a stable and mission driven organization, we welcome you to apply!

Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.

Equal Opportunity Employer