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Revenue Integrity Analyst

Care New England · Warwick, Rhode Island, US

Job Summary: Responsible for supporting complete, accurate, and compliant charge capture across Care New England by analyzing clinical, financial, and operat...

Job description

Job Summary: Responsible for supporting complete, accurate, and compliant charge capture across Care New England by analyzing clinical, financial, and operational data to identify trends, risks, and opportunities for improvement. This role goes beyond daily reconciliation to focus on proactive analysis, root cause identification, and development of sustainable process improvements to optimize revenue capture and reduce leakage. The Analyst leverages Epic Revenue Guardian reports, charge-related work queues, and other data sources to conduct in-depth reviews of charge capture activity, reconcile documentation against charges, and evaluate systemic issues impacting revenue integrity. In addition, the Analyst prepares and presents reports, dashboards, and trend analyses to leadership, supporting operational decision-making and audit readiness. This position serves as a subject matter expert and resource to coding, billing, clinical, and operational teams by providing insights on charge integrity. The Revenue Integrity Analyst plays a key role in strengthening the organization’s revenue cycle performance and ensuring an efficient billing environment. Duties and Responsibilities: Conduc...