Revenue Integrity Analyst

Job Description:

Revenue Integrity Analyst

Description

Description

THE POSITION: The Revenue Integrity Analyst plays a critical role in supporting the financial health and regulatory compliance of Ventura County Medical Center, Santa Paula Hospital, and affiliated ambulatory clinics. Under the general direction of the Revenue Integrity Manager, the incumbent performs advanced analytical, consultative, and project leadership work to support the County's Revenue Integrity Program. This position serves as a subject matter resource for Chargemaster (CDM) governance, charge capture, reimbursement, coding, billing, regulatory compliance, and revenue cycle improvement initiatives.

The Revenue Integrity Analyst exercises a high degree of independent judgment while partnering with clinical departments as well as Finance, Patient Financial Services, Compliance, Health Information Management, Informatics, Pharmacy, and executive leadership to evaluate operational processes, optimize reimbursement, promote regulatory compliance, and reduce organizational financial risk. The position also supports the implementation of new clinical services, operational initiatives, and system enhancements that improve revenue cycle performance across the health system.

THE IDEAL CANDIDATE: The ideal candidate is a collaborative healthcare revenue cycle professional with strong analytical abilities and experience interpreting complex reimbursement and regulatory requirements. They possess a solid understanding of healthcare coding, billing, charge capture, and reimbursement methodologies and are skilled at translating technical requirements into practical operational solutions. The successful candidate is comfortable working with multidisciplinary teams, managing multiple priorities, developing data-driven recommendations, and communicating effectively with physicians, operational leaders, and executive leadership. Experience supporting Revenue Integrity initiatives, Chargemaster (CDM) management, reimbursement analysis, healthcare process improvement, and regulatory compliance is highly desirable.

PAYROLL TITLE: Staff/Services Manager I

DEPARTMENT/AGENCY: Health Care Agency Administration

EDUCATIONAL/BILINGUAL INCENTIVE: Possible educational incentive of 2.5%, 3.5%, or 5% based on completion of Associate's, Bachelor's, or Master's degree. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

Staff/Services Manager I is a management classification and is not eligible for overtime compensation. Incumbents in these classifications are eligible for benefits at the MB3 level.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. There are (2) Full Time/Regular positions with the Health Care Agency Administration.

TENTATIVE SCHEDULE
OPENING DATE: July 22, 2026
CLOSING DATE: July 29, 2026 at 5:00 p.m.

Examples Of Duties

Duties may include, but are not limited to the following:

• Coordinates complex Revenue Integrity initiatives under the direction of the Revenue Integrity Manager.
• Serves as the operational lead for Chargemaster (CDM) governance, including maintenance, pricing recommendations, revenue code assignments, regulatory updates, and implementation of new services.
• Evaluates charging, coding, billing, and reimbursement requirements for new clinical services, procedures, and operational initiatives.
• Researches, interprets, and applies Medicare, Medi-Cal, commercial payer, and regulatory billing requirements and recommends operational improvements.
• Performs revenue integrity reviews, reimbursement analyses, charge capture assessments, coding validations, and operational audits to identify revenue opportunities and compliance risks.
• Analyzes reimbursement trends, denials, payment variances, and operational data to identify root causes and recommend corrective actions.
• Collaborates with Informatics regarding electronic health record (EHR) configuration, charging workflows, clinical documentation, and system enhancements affecting reimbursement.
• Partners with clinical departments and Finance, Patient Financial Services, Compliance, Pharmacy, and Health Information Management to resolve complex charging, coding, billing, and reimbursement issues.
• Develops policies, procedures, workflow recommendations, and educational materials related to revenue integrity, coding, charging, reimbursement, and regulatory compliance.
• Provides technical consultation and education to physicians, department leadership, and operational staff regarding reimbursement, charge capture, coding, and documentation requirements.
• Develops reports, dashboards, and presentations utilizing Microsoft Excel and other reporting tools to support operational and executive decision-making.
• Participates in multidisciplinary committees, strategic initiatives, and special projects supporting revenue cycle optimization and organizational goals.
• Prepares reports and presents findings and recommendations to the Revenue Integrity Manager and executive leadership.
• Performs other related duties as assigned.

Typical Qualifications

These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list.
EDUCATION, TRAINING AND EXPERIENCE:
Any combination of education and experience which has led to the acquisition of the required knowledge, skills, and abilities. The required knowledge, skills, and abilities can typically be obtained by:
A bachelor's degree in healthcare administration, business administration, public administration or a related field, AND one (1) year of experience in revenue integrity, hospital professional coding/billing experience, or revenue optimization.

NECESSARY SPECIAL REQUIREMENTS:

• Candidates must possess and maintain a current coding certification from a nationally recognized organization. Acceptable certifications include:
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Associate (CCA)
  • Certified Outpatient Coder (COC)
  • Certified Professional Medical Auditor (CPMA)
  • Certified Risk Adjustment Coder (CRC)
  • Or other nationally recognized equivalent coding certification.
• Intermediate proficiency in Microsoft Excel, using formulas, PivotTables and data validation.

DESIRED:

• Revenue integrity certification (such as CRIP or CHRI).

Note: Related work experience may substitute the educational requirement on a year for year basis.

KNOWLEDGE, SKILLS AND ABILITIES:
Working knowledge of:

• Medicare, Medi-Cal, and commercial payer reimbursement methodologies
• National Correct Coding Initiative (NCCI)
• Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classification (APC) methodologies
• Revenue codes, charge capture principles, and Chargemaster (CDM) governance
• Revenue Integrity and Revenue Cycle operations
• Federal and state healthcare regulations and compliance requirements
• Healthcare reimbursement and financial operations
• Intermediate Microsoft Excel, including formulas, PivotTables, XLOOKUP/VLOOKUP, data validation, and analytical reporting
• Electronic health record systems (Cerner Millennium or similar) and healthcare reporting applications
• Business intelligence and reporting tools (e.g., Power BI or similar) preferred

Working ability to:

• Coordinate multiple complex operational, regulatory, and reimbursement initiatives with minimal direction.
• Analyze and interpret reimbursement, financial, operational, and clinical data to support informed decision-making.
• Develop reports, dashboards, and executive-level presentations using Microsoft Excel and other reporting tools.
• Interpret and apply federal, state, and payer billing regulations.
• Research complex coding and reimbursement issues and develop practical operational solutions.
• Develop policies, workflows, educational materials, and process improvement recommendations.
• Collaborate effectively with physicians and multidisciplinary teams, including Finance, Patient Financial Services, Compliance, Pharmacy, Health Information Management, and Informatics.
• Communicate complex technical information effectively to clinical, operational, and executive leadership.
• Independently manage multiple priorities while meeting deadlines.
• Exercise sound judgment, professionalism, discretion, and confidentiality.
  

Recruitment Process

FINAL FILING DATE: Applications must be received by County of Ventura Human Resources no later than 5:00 p.m. on July 29, 2026.

To apply on-line, please refer to our web site at hr.venturacounty.gov. If you prefer to fill out a paper application form, please call (805) 677-5184 for application materials and submit them to County of Ventura Human Resources, 646 County Square Drive, Ventura, CA 93003.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this exam at the time of filing. The supplemental questionnaire may be used throughout the exam process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

TRAINING AND EXPERIENCE EVALUATION - qualifying: A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to supplemental questions. The T&E is a method for determining the better qualified applicants among those shown to meet the stated requirements. Using a T&E, applicants may be scored or ranked according to criteria that most closely meet the business needs of the department. When the pool of candidates is exceptionally strong and large, candidates are typically scored or ranked in relation to one another; consequently, some qualified candidates may receive a score or rank which is moderate or lower resulting in them not being advanced in the process.

In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation. Examinees must earn a score of seventy percent (70%) or higher to advance in the process.

ORAL EXAM - 100%: A job-related oral exam will be conducted to evaluate and compare participating applicants' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Applicants must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

If there are three (3) or fewer qualified applicants, an examination will not be conducted. Instead, a score of seventy percent (70%) will be assigned to each application, and each applicant will be placed on the eligible list.

Candidates successfully completing the examination process may be placed on an eligible list for a period of one (1) year.

NOTE: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.

EQUAL EMPLOYMENT OPPORTUNITY: The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

For further information about this recruitment, please contact Erin Niemi by email at [email protected] or by telephone at (805) 654-2568.

YOUR BENEFITS AS A COUNTY OF VENTURA EMPLOYEE

MANAGEMENT

To learn more about Benefits, Retirement, and the Memorandum of Agreement (MOA), see links below.

• Benefits website or you may call (805) 654-2570.
• Retirement FAQ's
• Memorandum of Agreement

Union Codes: MB3, MB4, MS, MT, MCC, MU

Closing Date/Time: 7/29/2026 5:00 PM Pacific

Salary:

$91,660.87 - $128,337.80 Annually