Holon Health
Revenue Integrity Analyst
At Holon Health , we’re a trailblazing healthcare startup reimagining what it means to care for justice‑involved individuals living with Substance Use Disorder. We provide whole‑person care with deep compassion, community wisdom, and an unshakable belief in second chances.
Position Summary We’re looking for a technically minded, detail‑obsessed Revenue Integrity Analyst who thrives on solving complex billing challenges through data accuracy, policy research, and analytical rigor. In this role, you’ll ensure that every claim—especially in emerging billing models like COCM and RTM— is coded and submitted correctly the first time. This position blends hands‑on billing analytics, coding accuracy, and process improvement more than people management. You’ll partner closely with our FP&A and data analytics teams to reduce denials, refine billing logic, and drive smarter, scalable systems that keep revenue flowing smoothly in a high‑volume, low‑dollar environment.
What You’ll Do
Ensure coding and billing accuracy: validate modifiers, place of service codes, and fee schedules for all COCM/RTM and behavioral health‑related billing.
Optimize claims processes: review and refine claim workflows to reduce denials and rejections.
Build and maintain billing logic matrices: continuously improve internal reference tools (e.g., modifiers, payer rules, and fee schedules).
Collaborate cross‑functionally: partner with FP&A and data analysts to ensure billing data accuracy, streamline reporting, and surface trends that drive operational improvements.
Leverage technology: work within Waystar and related RCM platforms to enhance automation, reporting, and compliance tracking.
Support revenue analysis: use Excel or BI tools to identify trends, measure denial causes, and drive insights for leadership.
Train and support team members: share best practices and build documentation to help others understand correct coding and billing policies.
Champion compliance and continuous learning: stay current on payer policy changes and evolving billing models like COCM and RTM.
Requirements
Strong understanding of medical billing and coding, with hands‑on experience in RCM processes.
Comfort working with data and billing analytics; advanced Excel proficiency required; SQL or other scripting experience is a plus.
Prior exposure to COCM, RTM, or behavioral health billing is highly preferred.
High attention to detail and a natural curiosity to understand “why” behind denials and coding rules.
Strong collaboration skills—able to partner with analysts, finance, and leadership to improve accuracy and efficiency.
Excellent documentation habits and ability to communicate technical concepts clearly.
Education & Experience
Bachelor’s degree required (Business, Healthcare Administration, Finance, or related). Advanced degree a plus. Coding certificate alone does not meet requirements.
Certified Professional Coder (CPC) or Certified Professional Biller (CPB) strongly preferred.
3–5 years of experience in healthcare billing, coding or revenue cycle analytics; startup or behavioral health experience a plus.
Demonstrated experience improving billing accuracy, reducing denials or optimizing claim workflows.
The Holon Way
Unlimited PTO
Remote‑first culture with connection baked in
Full suite of benefits, including health, dental, vision, life, and disability
401(k) with company match
Space for self‑care, because you can’t pour from an empty cup
Room to grow in a high‑impact, mission‑driven startup
A team that celebrates wins, learns from losses, and has your back
Our Commitment to DE&I Diversity, equity, and inclusion aren’t buzzwords here—they’re the foundation. We embrace the full spectrum of human experience and are proud to be an equal‑opportunity employer. If you’re passionate about our mission but don’t meet every qualification, we still encourage you to apply.
Apply Now Ready to do work that matters—on a team that sees you? Let’s build something extraordinary, together.
#J-18808-Ljbffr
Position Summary We’re looking for a technically minded, detail‑obsessed Revenue Integrity Analyst who thrives on solving complex billing challenges through data accuracy, policy research, and analytical rigor. In this role, you’ll ensure that every claim—especially in emerging billing models like COCM and RTM— is coded and submitted correctly the first time. This position blends hands‑on billing analytics, coding accuracy, and process improvement more than people management. You’ll partner closely with our FP&A and data analytics teams to reduce denials, refine billing logic, and drive smarter, scalable systems that keep revenue flowing smoothly in a high‑volume, low‑dollar environment.
What You’ll Do
Ensure coding and billing accuracy: validate modifiers, place of service codes, and fee schedules for all COCM/RTM and behavioral health‑related billing.
Optimize claims processes: review and refine claim workflows to reduce denials and rejections.
Build and maintain billing logic matrices: continuously improve internal reference tools (e.g., modifiers, payer rules, and fee schedules).
Collaborate cross‑functionally: partner with FP&A and data analysts to ensure billing data accuracy, streamline reporting, and surface trends that drive operational improvements.
Leverage technology: work within Waystar and related RCM platforms to enhance automation, reporting, and compliance tracking.
Support revenue analysis: use Excel or BI tools to identify trends, measure denial causes, and drive insights for leadership.
Train and support team members: share best practices and build documentation to help others understand correct coding and billing policies.
Champion compliance and continuous learning: stay current on payer policy changes and evolving billing models like COCM and RTM.
Requirements
Strong understanding of medical billing and coding, with hands‑on experience in RCM processes.
Comfort working with data and billing analytics; advanced Excel proficiency required; SQL or other scripting experience is a plus.
Prior exposure to COCM, RTM, or behavioral health billing is highly preferred.
High attention to detail and a natural curiosity to understand “why” behind denials and coding rules.
Strong collaboration skills—able to partner with analysts, finance, and leadership to improve accuracy and efficiency.
Excellent documentation habits and ability to communicate technical concepts clearly.
Education & Experience
Bachelor’s degree required (Business, Healthcare Administration, Finance, or related). Advanced degree a plus. Coding certificate alone does not meet requirements.
Certified Professional Coder (CPC) or Certified Professional Biller (CPB) strongly preferred.
3–5 years of experience in healthcare billing, coding or revenue cycle analytics; startup or behavioral health experience a plus.
Demonstrated experience improving billing accuracy, reducing denials or optimizing claim workflows.
The Holon Way
Unlimited PTO
Remote‑first culture with connection baked in
Full suite of benefits, including health, dental, vision, life, and disability
401(k) with company match
Space for self‑care, because you can’t pour from an empty cup
Room to grow in a high‑impact, mission‑driven startup
A team that celebrates wins, learns from losses, and has your back
Our Commitment to DE&I Diversity, equity, and inclusion aren’t buzzwords here—they’re the foundation. We embrace the full spectrum of human experience and are proud to be an equal‑opportunity employer. If you’re passionate about our mission but don’t meet every qualification, we still encourage you to apply.
Apply Now Ready to do work that matters—on a team that sees you? Let’s build something extraordinary, together.
#J-18808-Ljbffr