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Revenue Integrity Coding Analyst Jobs in Wisconsin

6AM City

6AM City, LLC is seeking a Revenue Integrity Coordinator to ensure the accuracy and integrity of ... Success requires 3-5 years in hospital charge capture review, knowledge of ICD-10-CM/HCPCS coding ...

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Quartz

Medical Coding Systems Analyst

Madison, WI · Remote

$72K - $90K/yr

The Medical Coding Systems Analyst will be responsible for oversight and maintenance of the code ... Be part of the new payment integrity business initiatives and goals * Starting salary is based upon ...

Quartz

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit ... Be part of the new payment integrity business initiatives and goals * Starting salary is based upon ...

Quartz

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

Coding Systems Analyst Come Find your Spark at Quartz! Do you have a strong background in medical ... Be part of the new payment integrity business initiatives and goals * Starting salary is based upon ...

Unavailable

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit ... Be part of the new payment integrity business initiatives and goals * Starting salary is based upon ...

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How much do revenue integrity coding analyst jobs pay per year?

As of Aug 5, 2026, the average yearly pay for revenue integrity coding analyst in Wisconsin is $76,969.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $86,800.00 per year, depending on experience, location, and employer.

How much does a revenue integrity coding analyst make?

The average salary for a revenue integrity coding analyst in Texas ranges from $50,000 to $70,000 annually, depending on experience, certifications, and the healthcare facility. Salaries may also vary based on location, with higher pay often found in larger or urban hospitals. Professional certifications like CPC or CCS can enhance earning potential.

What is a revenue integrity coding analyst?

A Revenue Integrity Coding Analyst is a healthcare professional responsible for ensuring that medical coding and billing practices comply with regulations and maximize appropriate revenue for healthcare organizations. They review clinical documentation, coding, and billing data to identify discrepancies or errors that could impact reimbursement. Their role often involves analyzing trends, implementing process improvements, and working closely with clinical and billing staff to ensure accurate and compliant revenue cycle management. By doing so, they help prevent revenue loss and minimize the risk of audits or penalties.

What is the difference between Revenue Integrity Coding Analyst vs Revenue Cycle Specialist?

AspectRevenue Integrity Coding AnalystRevenue Cycle Specialist
CertificationsCPH, CCS, CPCCPH, CPC, RHIT
Work EnvironmentHospital, outpatient, billing departmentsHospital, billing, insurance
Primary FocusEnsuring accurate coding and complianceManaging entire revenue cycle process

The Revenue Integrity Coding Analyst primarily focuses on accurate coding and compliance to optimize revenue, while the Revenue Cycle Specialist manages the broader revenue cycle, including billing and collections. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ, making them distinct yet related positions in healthcare revenue management.

What are the key skills and qualifications needed to thrive as a revenue integrity coding analyst?

To thrive as a Revenue Integrity Coding Analyst, you need a strong understanding of medical coding, billing regulations, and healthcare reimbursement systems, often supported by certifications such as CPC or CCS. Familiarity with coding software, electronic health records (EHR), and audit tools is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These competencies are vital to ensure accurate coding, compliance, and optimal revenue capture for healthcare organizations.

What does a revenue integrity coding analyst do?

A revenue integrity coding analyst reviews and ensures the accuracy of medical coding and billing processes to maximize revenue and compliance. They analyze patient records, apply appropriate codes using coding systems like ICD-10 and CPT, and collaborate with billing teams to prevent revenue loss and identify discrepancies. Strong attention to detail, knowledge of healthcare regulations, and proficiency with coding software are essential for this role.

How does a revenue integrity coding analyst typically collaborate with clinical and billing teams to ensure accurate revenue capture?

Revenue Integrity Coding Analysts work closely with both clinical staff and billing departments to ensure medical codes are applied accurately and efficiently. They often review clinical documentation, clarify ambiguities with physicians, and communicate any coding discrepancies to billing teams. This collaboration helps prevent revenue leakage, supports compliance with regulations, and ensures timely and accurate reimbursement. Regular meetings and feedback sessions are common to address ongoing coding challenges and implement process improvements.
What are popular job titles related to Revenue Integrity Coding Analyst jobs in Wisconsin? For Revenue Integrity Coding Analyst jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Revenue Integrity Coding Analyst jobs in Wisconsin look for? The top searched job categories for Revenue Integrity Coding Analyst jobs in Wisconsin are:
What cities in Wisconsin are hiring for Revenue Integrity Coding Analyst jobs? Cities in Wisconsin with the most Revenue Integrity Coding Analyst job openings:
Revenue Integrity Coding Analyst jobs near you
Infographic showing various Revenue Integrity Coding Analyst job openings in Wisconsin as of July 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $76,969 per year, or $37 per hour.

Revenue Integrity Specialist

Upland Hills Health

Dodgeville, WI

Full-time

Retirement, PTO

Re-posted 16 days ago

Upland Hills Health rating

6.0

Company rating: 6.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Position Title: Revenue Integrity Specialist

Location: Upland Hills Health - Dodgeville Hospital Campus

Role amp; Department: Revenue Integrity Specialist in the Revenue Cycle Department

Hours amp; Shift: Full-time (1.0 FTE) Day Shift Position, Monday through Friday
Position Summary: The Revenue Integrity Specialist serves as a bridge between billing operations, payor contract compliance, and reimbursement analysis. This role supports accurate and compliant charge capture, billing correctness while supporting denial prevention, revenue optimization, and team education. This role works closely with billing lead, contract specialist, and finance to protect and optimize organizational revenue.

Role Responsibilities:
Charge Capture Integrity:
  • Responsible for assigned Pricing, Revenue Code, Account, Charge Review, Router Review and Claim Edit Work queues and the continual monitoring, reduction, and transfer of AR associated with the assigned areas.
  • Monitors daily census of room rates for Med/Surg and OB floor.
  • Follows up on all incomplete and inaccurate charges and makes prompt corrections.
  • Responsible for the timely and accurate processing of patient and research charges and corrections to hospital account record as necessary.
  • Works closely with Materials Management and Surgical staff to ensure appropriate charging and pricing for new supply products
  • Applies analytical skills to daily work to identify trends or root causes and provides recommendations to improve processes across the revenue cycle (missing or delayed charges, lag time, claim denials, etc.)
  • Creates temporary reports with findings of build issues to run on a daily basis until Epic tickets can be fixed.
  • Coordinates with patient financial services on compliance issues regarding national correct coding initiative rules, Medicare outpatient code editor rules and Medicare and Medicaid fraud and abuse rules and charge practices.
Revenue Integrity:
  • Estimate set up and workflow support.
  • Maintains Revenue Integrity manual and workflows.
  • Monitors quarterly WHA updates to Top 75 procedure list and forwards to Patient Access as required by regulations.
  • Identify trends in billing errors, denials, and underpayments and recommend corrective actions.
  • Assist the billing department with questions relating to revenue codes, modifiers, etc.
  • Support revenue cycle improvement initiatives.
  • Provides back-up support for State Reporting.
  • Provides back-up support for the HB Statement processing and acceptance.
  • Provides back-up support to the Revenue Integrity Analyst as it relates to Charge Capture Integrity.
  • Additional duties as assigned.
Denial Prevention amp; Revenue Optimization:
  • Analyze claim denials related to documentation, coding, billing or contract interpretation.
  • Collaborate with billing lead and contract specialist to reduce payor-specific denial trends.
  • Collaborate with registration, coding, clinical, authorization, and billing teams to improve claim accuracy.
  • Assist with appeals by validating documentation, coding and contract language.
  • Develop and implement corrective actions, including workflow changes, to prevent repeat denials.
  • Maintain current knowledge of payor rules, medical policies, and contract requirements.
  • Provide education and feedback to internal teams on payor-specific denial trends and prevention strategies.
  • Prepare denial prevention reports, dashboards, and performance metrics.
  • Act as a subject matter expert for denial prevention best practices.
Qualifications:
  • Bachelor’s Degree in Business, or related Medical Field, or equivalent combination of experience and education preferred.
  • Required: Associate Degree in Business, or related Medical Field, or equivalent combination of experience and education.
  • Knowledge of CPT and Medicare and Medicaid and other regulatory billing guidelines preferred.
  • Experience with medical terminology, CPT coding systems preferred
  • Ability to collaboratively coordinate, set priorities, operate with minimal direct supervision.
  • Effective analytical ability in order to analyze, recommend solutions to and solve complex problems.
  • Excellent interpersonal, organizational, and communication skills as well as the ability to problem solve
  • Competency with Microsoft Excel, Word, PowerPoint, and Software programs.
  • 3 years’ experience in hospital reimbursement environment to include charge capture and billing preferred
  • Strong knowledge of insurance claim workflows and denial types.
  • Ability to obtain any certifications needed to perform the position.
Employee Benefits:
  • Comprehensive benefits packages available for both part and full-time employees!
  • Paid Time Off (PTO) benefits begin to accrue on day one!
  • Retirement Plan with matching dollars available!
  • Two wellness center facilities that employees are eligible to use free of charge amp; a minimal fee for spouses!
  • Many Employer Sponsored Events held throughout the year to celebrate our employees!

Why Upland Hills Health: Upland Hills Health (UHH) consistently ranks as a very high performing health care institution in Southwestern Wisconsin. Located just 40 minutes from Madison, WI and as well from Dubuque, IA, the area is surrounded by wonderful communities and beautiful scenery. For over 100 years, Upland Hills Health has been dedicated to the promise of offering the highest standard of healthcare. Our community-minded staff emphasizes providing quality, comprehensive healthcare while offering a comfortable, neighborly welcome to everyone who walks through our doors. Here, neighbors care for neighbors!

Posting date: May 21, 2026

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