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Senior Revenue Integrity Analyst

Networks Connect

Sarasota, FL

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JOB DETAILS
SALARY
$120,000–$130,000 Per Year
SKILLS
Analysis Skills, Auditing, Best Practices, Billing, Business Administration, Case Management, Charge Capture, Clinical Study Publications, Communication Skills, Corporate Compliance, Cross-Functional, Financial Services, Health Information Management, Healthcare, Hospital, Hospital Systems, Internal Audit, Medicaid, Medical Billing, Medical Coding, Medicare, Medicare Reimbursement, News Reporting, Nursing, Patient Care, Patient Safety, Performance Management, Problem Solving Skills, Process Improvement, Reimbursement, Revenue Analysis, Revenue Recognition, Training/Teaching
LOCATION
Sarasota, FL
POSTED
Today
Job Description

About the Opportunity

We've partnered with a nationally recognized health system in Florida to find an experienced Senior Revenue Integrity Analyst. This is an excellent opportunity to join a high-performing Revenue Cycle team at one of the most respected healthcare organizations in the country.

Our client is:
  • A top-ranked hospital system - #1 in its region per U.S. News & World Report
  • Magnet®-designated for nursing excellence
  • A consistent "A" rating for patient safety
  • Nationally recognized for quality, patient experience, and workplace culture
  • Ranked among the Top 10 World's Best Hospitals
  • Named a Top 15 Most Desired Place to Work in the Nation
If you want your next move to be somewhere genuinely regarded as a destination employer, this is it.

The Role

As a Senior Revenue Integrity Analyst, you'll serve as a primary resource and educator across the organization - partnering with Patient Financial Services, Case Management, Health Information Management, Corporate Compliance, Surgery, Nursing, Physicians, and Internal Audit on patient status, charge capture, coding, billing, medical necessity, Medicare rules, and payment methodologies.

This is a high-autonomy role focused on improving Revenue Cycle performance - developing best practices, strengthening clinical documentation, coordinating issue resolution, and building proactive prevention measures. You'll lead and participate in Revenue Cycle committees and appeals processes that directly improve compliance and revenue recognition.

Earnings

$120,000-$130,000 salary

Location - In Office
  • Sarasota, FL
Job Type

Duties
  • • Serving as the subject-matter resource on charge capture, coding, billing, and medical necessity
  • • Educating departments and physicians on patient status, Medicare rules, and payment methodologies
  • • Leading and participating in Revenue Cycle committees and appeals processes
  • • Developing best practices and proactive prevention measures to protect revenue integrity
  • • Coordinating cross-departmental issue resolution to improve compliance and outcomes
Requirements
  • • 3+ years of strong training and background in coding and reimbursement
  • • Demonstrated knowledge of Medicare, Medicaid, Medicare OPPS reimbursement, and third-party billing rules
  • • Working knowledge of medical necessity rules and the Medicare Inpatient-Only list
  • • Previous auditing experience preferred
  • • Strong analytical, communication, and cross-functional problem-solving skills
License / Certification
  • • Coding certification through AHIMA or AAPC (or obtained within one year of hire)
  • • Bachelor's degree required (MBA preferred)
Benefits
  • Comprehensive benefits package, including PTO from day one, tuition reimbursement, and retirement savings plan

Apply Now

About the Company

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Networks Connect