Revenue Integrity Analyst Jobs
Revenue Integrity Analyst jobs are open from entry-level to senior across healthcare systems, hospital networks, and insurance organizations, with specializations in charge capture, coding compliance, and denial management. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 133+ Revenue Integrity Analyst jobs
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient’s true clinical picture from the codes assigned by the facility’s coders in compliance with federal laws. The DRG - A will utilize International Classification of Diseases - Clinical Modification (CM) and Procedure Coding System (PCS) Terminology to ensure accurate coding. Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, severity of illness (SOI), risk of mortality (ROM), Hierarchical Condition Category (HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual, payers’ Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs. Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported and composing and sending queries when necessary. Analyze records for potential query opportunities and appropriate code assignment along with correct code sequencing. Maintain quality of reviews by making sure the true clinical picture is captured timely. Staying up to date with medical and coding guidelines, along with advancements within their field. Support CorroHealth in developing accurate training materials. Provide training and shadowing to new hires. Assist CorroHealth with project data analysis, reporting, and feedback internally and externally to CorroHealth clients. Maintain professional etiquette. Ensures all PHI is appropriately stored and delivered to authorized individuals. Meets or exceeds production and quality metrics. Attend all mandatory meetings and trainings. Additionally, DRG - A may also be required to audit clients’ clinical documentation integrity (CDI) program to include query review, analysis of coding, and overall program accuracy. Responsible to keep up with your company and EMR access log ins and passwords. All other position related duties as delegated by management. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below is representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Important Duties and Responsibilities:
- Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported
- Analyze records for potential query opportunities and appropriate code assignment and code sequencing
- Maintain quality of reviews and making sure the true clinical picture is captured, along with ensuring chart review productivity
- Staying up to date with official coding guidelines, coding clinics and clinical criteria
- Available to provide training to other new hires, if required, along with supporting development of training materials, as well as clinical, coding and CDI policies
- Assisting with project data analysis, reporting, and feedback both internally and to clients
- In all situations, protecting the privacy and confidentiality of patient health and client information, and follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices, standards, and procedures
- Conduct chart reviews as assigned, meeting the productivity standards as set forth for each project or record type
- Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing
- When interacting with clients, always conducts themselves in a professional manner, exhibiting excellent relationship, work performance and communication skill so as to support the company and its business interests
- Maintenance of professional credentials and knowledge of CDI, coding, reimbursement, and compliance issues through continuing education
- Other duties and responsibilities, as assigned
Work Experience:
- Five or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).
- CCS required, CCDS or CDIP a plus.
Knowledge, Skills & Abilities:
- Experience with telecommuting and electronic medical record systems required
- Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc.
- Strong analytical skills
- Works well with numbers, using basic math skills
- Strong team player
- Ability to work with multiple and diverse clients and projects
- Ability to switch between multiple clients throughout the day and week
- Ability to work with minimal supervision
- Ability to maintain and access multiple files
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient’s true clinical picture from the codes assigned by the facility’s coders in compliance with federal laws. The DRG - A will utilize International Classification of Diseases - Clinical Modification (CM) and Procedure Coding System (PCS) Terminology to ensure accurate coding. Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, severity of illness (SOI), risk of mortality (ROM), Hierarchical Condition Category (HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual, payers’ Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs. Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported and composing and sending queries when necessary. Analyze records for potential query opportunities and appropriate code assignment along with correct code sequencing. Maintain quality of reviews by making sure the true clinical picture is captured timely. Staying up to date with medical and coding guidelines, along with advancements within their field. Support CorroHealth in developing accurate training materials. Provide training and shadowing to new hires. Assist CorroHealth with project data analysis, reporting, and feedback internally and externally to CorroHealth clients. Maintain professional etiquette. Ensures all PHI is appropriately stored and delivered to authorized individuals. Meets or exceeds production and quality metrics. Attend all mandatory meetings and trainings. Additionally, DRG - A may also be required to audit clients’ clinical documentation integrity (CDI) program to include query review, analysis of coding, and overall program accuracy. Responsible to keep up with your company and EMR access log ins and passwords. All other position related duties as delegated by management. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below is representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Important Duties and Responsibilities:
- Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported
- Analyze records for potential query opportunities and appropriate code assignment and code sequencing
- Maintain quality of reviews and making sure the true clinical picture is captured, along with ensuring chart review productivity
- Staying up to date with official coding guidelines, coding clinics and clinical criteria
- Available to provide training to other new hires, if required, along with supporting development of training materials, as well as clinical, coding and CDI policies
- Assisting with project data analysis, reporting, and feedback both internally and to clients
- In all situations, protecting the privacy and confidentiality of patient health and client information, and follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices, standards, and procedures
- Conduct chart reviews as assigned, meeting the productivity standards as set forth for each project or record type
- Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing
- When interacting with clients, always conducts themselves in a professional manner, exhibiting excellent relationship, work performance and communication skill so as to support the company and its business interests
- Maintenance of professional credentials and knowledge of CDI, coding, reimbursement, and compliance issues through continuing education
- Other duties and responsibilities, as assigned
Work Experience:
- Five or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).
- CCS required, CCDS or CDIP a plus.
Knowledge, Skills & Abilities:
- Experience with telecommuting and electronic medical record systems required
- Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc.
- Strong analytical skills
- Works well with numbers, using basic math skills
- Strong team player
- Ability to work with multiple and diverse clients and projects
- Ability to switch between multiple clients throughout the day and week
- Ability to work with minimal supervision
- Ability to maintain and access multiple files
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Revenue Integrity Analyst Jobs by Experience Level
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Find JobsRevenue Integrity Analyst Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services11
- Education1
- Insurance1
- Automotive1
- Technology & Software1
What Employers Look For
The qualifications that appear most often in revenue integrity analyst jobs.
- Knowledge of revenue cycle management, medical coding, and charge capture processes
- Proficiency in ICD-10-CM, CPT, and HCPCS coding systems
- Experience with denial management, claims auditing, and accounts receivable follow-up
- Familiarity with payer contract terms, compliance regulations, and billing edits
- CPC, RHIT, RHIA, or CRCR certification preferred or required by most employers
- Proficiency with healthcare information systems such as Epic, Cerner, or Meditech
Tips for Your Revenue Integrity Analyst Job Search
Tailor your resume to billing workflows
Highlight specific revenue cycle systems you've worked in, such as charge capture platforms or clinical documentation tools, and name the payer types you've audited. Generic healthcare experience won't stand out the way a focused billing background does.
Get your CPC or CRCR certification first
Many postings explicitly require or prefer the Certified Professional Coder credential or the Certified Revenue Cycle Representative. Earning one before you apply puts your resume past the automatic screen that filters unqualified candidates.
Apply early to roles that fit
Migrate Mate lists revenue integrity analyst openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by payer mix and setting
A role at an academic medical center involves different compliance pressures than one at an outpatient specialty clinic. Filter your search by facility type and read each posting for payer mix details so your cover letter speaks directly to their environment.
Prepare audit scenario answers for interviews
Interviewers for these roles commonly ask you to walk through how you'd investigate a denial trend or a charge discrepancy. Prepare two or three concrete examples from past work that show your process from identification through resolution and outcome.
Negotiate using compliance scope, not just title
When discussing compensation, frame your value around the volume of claims you've reviewed, the payer types you've handled, and any recoveries you contributed to. Specific scope gives you a stronger negotiating position than seniority level alone.
Revenue Integrity Analyst Jobs: Frequently Asked Questions
Which companies are hiring the most revenue integrity analysts?
INTEGRIS Health, Parallon, and UCLA Health are hiring the most revenue integrity analysts right now, with openings concentrated in Texas, California, and Florida, based on current listings on Migrate Mate as of November 2026. Large health systems and regional hospital networks tend to post the most volume, particularly those undergoing revenue cycle consolidation or compliance audits.
How many revenue integrity analyst jobs are remote?
About 78% of revenue integrity analyst openings are fully remote or hybrid as of November 2026, with remote availability higher for roles focused on coding audits and denial analysis than for positions requiring on-site charge capture review or direct collaboration with clinical departments. Employer size and system infrastructure tend to determine which sub-functions can be performed off-site.
How do you become a revenue integrity analyst?
Start by building a foundation in medical coding or billing, ideally through formal coursework or on-the-job experience in a healthcare setting. Earning a credential such as the CPC or CRCR signals competency to hiring managers. From there, move into roles that expose you to denial management, charge capture auditing, or compliance review, since most employers want candidates who can demonstrate experience across multiple points in the revenue cycle before promoting into a dedicated integrity role.
Can you get a revenue integrity analyst job with little experience?
Yes, some employers hire candidates with one to two years in medical billing or coding into junior revenue integrity roles, especially at large health systems that have internal training programs. Getting certified first, even before you have direct audit experience, makes a significant difference. Applying to roles with titles like revenue cycle specialist or coding compliance associate can also serve as a practical entry point into the broader integrity function.
What does the revenue integrity analyst interview process look like?
Most processes include an initial phone screen with HR, followed by a technical interview with a revenue cycle manager or director that focuses on your coding knowledge, audit methodology, and familiarity with payer rules. A practical exercise, such as reviewing a sample claim or identifying billing discrepancies in a scenario, is common at mid-to-large health systems. Final rounds typically involve meeting with compliance leadership or department heads who assess cultural fit and communication skills alongside technical depth.
Where can I find and apply to revenue integrity analyst jobs?
You can find and apply to revenue integrity analyst jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your coding specialty, payer experience, or preferred work setting, then apply directly to each listing that fits your background.
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