Revenue Integrity Analyst - Revenue Cycle - Full Time

Come work at the best place to give and receive care!

Job Description:

Who We Are:

Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center-a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence-we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners, and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.

About the Job:

Title: Revenue Integrity Analyst

Department: Revenue Cycle

Reports To: Director of Revenue Integrity and Analytics

Status: Non-Exempt

The Revenue Integrity Analyst ensures accurate charge capture, coding, and billing across the revenue cycle to optimize reimbursement and maintain compliance. This role involves auditing, data analysis, and collaboration with clinical and financial teams to identify revenue opportunities, support charge reconciliation, resolve denials, and uphold regulatory standards.

What You'll Do:

• Validate charges and coding accuracy by reviewing patient records, charge tickets, and system data.

• Maintain and update the Charge Description Master (CDM) and fee schedules.

• Conduct audits (prospective and retrospective) to detect errors or omissions.

• Perform root cause analysis on denials and revenue variances; implement corrective actions.

• Monitor work queues and resolve issues in Epic or other EHR systems.

• Ensure compliance with CMS, AMA, CPT, ICD-10, and payer-specific guidelines.

• Review CPT updates and coordinate timely implementation.

• Prepare reports on audit findings, revenue trends, and reimbursement impact.

• Recommend process improvements leveraging data analytics.

• Communicate findings and recommendations to leadership through reports and dashboards.

• Collaborate with clinical, finance, and IT teams to resolve revenue cycle issues.

Who You Are / Requirements:

• Education: High School diploma or equivalent required; Associate degree or higher in healthcare administration, business, finance, HIM preferred.

• Experience: 1-3 years in revenue integrity, hospital/professional billing, or healthcare analytics required; Epic experience required.

• Licensure/Certification: CPC, COC, and/or RHIA preferred.

• Knowledge: Strong understanding of reimbursement, payer policies, CDM, CPT/ICD coding, and audit readiness.

• Skills: Advanced Excel and reporting tools (pivot tables, dashboards, data visualization).

• Abilities: Effective communication with clinical, operational, and executive stakeholders; ability to work independently on multiple priorities.

Why You'll Love Us:

• Health, dental, prescription, and vision coverage for full-time & part-time employees

• Short-term, long-term disability, life & pet insurance

• Tuition & certification reimbursement (up to $4,000/year)

• Nursing Student Loan Paydown Program (up to $20,000)

• 403(b) Retirement savings plans with company matching

• Continuous earned time accrual

• & So much more!

Work Shift:

Full time | 40 hours/week | M- F 8:00am - 4:30pm

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.