Revenue Integrity Analyst (Medical Biller)
Guidehouse - San Antonio, TX
Apply NowJob Description
Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoDu2019s enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: + Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. + Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. + Analyze financial, clinical, and operational data to identify trends, charge variances, and revenue improvement opportunities. + Investigate claim edits and denials, identify root causes, and coordinate corrections with clinical and coding teams. + Reconcile clinical activity to billing outputs and improve charge capture and CDM workflows. + Perform chartu2011tou2011bill audits to ensure documentation, coding (CPT, ICDu201110, HCPCS), and billing compliance. + Educate staff on proper coding, documentation, and revenue cycle best practices; support multidisciplinary workgroups. + Recommend process and workflow improvements to reduce denials, enhance compliance, and support systemu2011wide standardization. What You Will Need : + Must be able to OBTAIN and MAINTAIN a Federal or DoD
Created: 2026-02-02