[Hiring] Revenue Integrity Service Line Analyst @The Wilshire Group

Role Description

The Wilshire Group is seeking three experienced Revenue Integrity Service Line Analysts to support revenue integrity initiatives in a fully remote consulting environment. This role will work closely with physicians, clinical, operational, finance, compliance, coding, IT, and revenue cycle teams to improve accurate and compliant revenue capture. The ideal candidate will have strong Epic and chargemaster experience, along with the ability to review end-to-end workflows, identify revenue opportunities, and help implement practical, sustainable improvements.

Key Responsibilities

• Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders.
• Review the relationship between the chargemaster (CDM), clinical workflows, Epic configuration, charge capture logic, and downstream billing processes.
• Maintain Epic chargemaster content within assigned areas and apply knowledge of charge capture and related Epic clinical modules.
• Perform end-to-end assessments of scheduling, documentation, charge capture, billing, reimbursement, and payment workflows.
• Identify root causes of missed, inaccurate, or incomplete charges and recommend corrective actions.
• Work with business and technical teams to improve workflows, system configuration, and charge capture processes.
• Analyze operational, financial, and utilization data to identify trends and revenue optimization opportunities.
• Monitor implemented changes and measure results to confirm improvements are working as intended.
• Support or lead Revenue Integrity assessments for new clinical programs, technologies, procedures, and service lines.
• Maintain knowledge of federal and state regulations, payer requirements, and revenue cycle best practices.
• Provide guidance to other analysts as needed; senior candidates may serve as a subject matter expert or mentor.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Health Information Management, or a related field, or an equivalent combination of education and experience.
• Progressive Revenue Integrity experience, including service line assessments and revenue optimization.
• Epic Revenue Integrity/Chargemaster certification or demonstrated Epic Revenue Cycle experience preferred.
• Revenue integrity, coding, or revenue cycle certification preferred (CPC, COC, CCS, CHRI, CRCR, or equivalent).
• Clinical experience or clinical education/credentials, such as RN or another relevant clinical background, is a plus for senior-level candidates.

Requirements

• Advanced knowledge of hospital and professional revenue cycle operations, including revenue integrity, charge capture, coding, billing, and reimbursement.
• Strong Epic revenue cycle experience, including chargemaster/CDM management and workflow optimization.
• Ability to evaluate clinical and revenue cycle workflows across multiple service lines and turn findings into practical recommendations.
• Strong analytical, critical-thinking, and problem-solving skills.
• Ability to independently manage priorities and work effectively with cross-functional teams in a remote environment.
• Strong communication and relationship-building skills.

Benefits

• Hourly Rate: $75-$90 per hour, based on experience.
• Fully Remote position.
• Schedule: EST business hours.