[Hiring] Revenue Integrity Analyst @TriHealth

Role Description

Join TriHealth as a Revenue Integrity Analyst! Remote Work Available. **Must reside in Cincinnati-Dayton, Ohio, Northern Kentucky or Eastern Indiana.**

In this role, you will oversee and maintain the TriHealth Physician Charge Description Master (CDM), ensuring optimal revenue generation while upholding strict regulatory and payer requirements. You’ll work closely with:

• Clinical departments
• Information Systems
• Compliance
• Corporate Counsel
• Other key partners

As a valued member of TriHealth’s Physician Revenue Cycle team, you will:

• Monitor daily and monthly revenue trends
• Reconcile charges
• Identify missed revenue opportunities through advanced analytics
• Implement tools such as Revenue Guardian to strengthen charge integrity

This position offers the opportunity to shape corporate charge-capture policies, maintain optimal pricing, and support TriHealth’s commitment to operational excellence and regulatory compliance. It’s an impactful role for a detail-oriented, analytical professional who thrives in a high-accountability environment.

Apply today and grow your career with a team that truly values you.

Qualifications

• Bachelor's Degree in Healthcare
• EPIC Physician Revenue Cycle & Coding
• Equivalent experience accepted in lieu of degree
• Certified Professional Coder (CPC)
• EPIC Experience in Physician based revenue cycle
• 4-5 years’ experience Professional Healthcare EPIC Physician Revenue Cycle Coding & Charge Capture

Requirements

• Assumes accountability in coordinating, monitoring, maintaining, updating & analyzing compliance of the TriHealth Physician Charge Description Master (CDM)
• Ensures timely review of regulatory literature such as CMS program transmittals, CPT & HCPCS guidelines/updates
• Works collaboratively with revenue producing clinical departments and Information Systems
• Fosters a partnering relationship with Compliance/Corporate Counsel, Analytics, Patient Accounting, Medical Records and Managed Care
• Monitors daily & monthly revenue and identifies issues
• Oversees daily revenue reconciliation
• Evaluates and corrects, records missed charges as generated by advanced analytical queries
• Evaluates and implements Revenue Guardian in collaboration with existing edits
• Assists in resolving open encounters
• Develops Corporate Policies that govern charge capture for physician generated revenue
• Evaluates and maintains optimal charge prices

Benefits

• Comprehensive benefits package including medical, dental, vision
• Paid time off
• Retirement plans
• Tuition reimbursement
• Please view our benefits page: Benefits Page

Company Description

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

• Serve: Always welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces.
• Excel: Take personal responsibility to address service breakdowns and improve quality, safety, and service.
• Respect: Honor individual preferences and speak positively about team members.
• Value: Be on time, prepared, and actively participate.
• Engage: Acknowledge wins and show courtesy and compassion.