Join TriHealth as a Revenue Integrity Analyst!
TriHealth offers a collaborative, mission‑driven environment where skilled
Revenue Cycle professionals can directly influence financial accuracy,
compliance, and organizational performance. 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, and other key partners to ensure
accurate charge capture, timely documentation, and alignment with evolving CMS,
CPT, and HCPCS guidelines.
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, and 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.
Location:
Works from Home
Work Schedule:
Full-Time (80 hours bi-weekly)
Day Shift
No Weekend, Holiday or On Call Commitment
Benefits:
TriHealth offers a comprehensive benefits package - including medical, dental,
vision, paid time off, retirement plans, and tuition reimbursement. Please view
our benefits page https://careers.trihealth.com/what-we-offer/benefits
[https://careers.trihealth.com/what-we-offer/benefits]
Job Requirements:
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
Job Overview:
Assumes accountability in coordinating, monitoring, maintaining, updating &
analyzing compliance of the TriHealth Physician Charge Description Master (CDM)
to optimize revenue generation while ensuring compliance with third party payer
requirements. 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 to ensure all charges are
captured & documented. Fosters a partnering relationship with
Compliance/Corporate Counsel, Analytics, Patient Accounting, Medical Records and
Managed Care. Monitors daily & monthly revenue and identify 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
physicians generate revenue. Evaluates and maintains optimal charge prices.
Maintains TriHealth Physician Charge Description Master to optimize revenue
generation while ensuring compliance with third party payer requirements.
Job Responsibilities:
Maintains TriHealth Physician Charge Description Master to optimize revenue
generation while ensuring compliance with third party payer requirements and
evaluates and maintains optimal charge prices.
Monitors daily & monthly revenue and identify 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.
Other Job-Related Information:
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting <10 Lbs - Rarely
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Occasionally
Stooping - Rarely
Thinking/Reasoning - Consistently
Use of Hands - Frequently
Color Vision - Consistently
Walking – Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
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 by making eye contact, greeting with a smile, and saying
"hello"
• Acknowledge when patients/guests are lost and escort them to their destination
or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or
patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service
breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of
patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively
participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently
and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for
contributions.
• Show courtesy and compassion with customers, team members and the community