Revenue Integrity Analyst

Job Description

Job Description

Description :

Be Part of Something Radically Different

At Holon Health, we don’t do “business as usual.” We’re a trailblazing healthcare startup reimagining what it means to care—for our clients and our people. We provide whole-person care to justice-involved individuals living with Substance Use Disorder (SUD)—and we do it with deep compassion, community wisdom, and an unshakable belief in second chances.

Our approach throws out the playbook. We integrate medical, behavioral, and social care. We prioritize prevention and recovery. We treat clients like people, not checkboxes. And just as importantly, we know that our team can only care for others if they’re cared for themselves. That’s why we lead with flexibility, trust, and a culture built on well-being, inclusion, and respect.

If you’re energized by meaningful work and want to feel good about how you spend your days, read on.

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 : Manage and 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 :

What You Bring to The Table

Education & Experience

The Holon Way

We’re not just building a better model of care—we’re building a better workplace. That means :

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.

Ready to do work that matters—on a team that sees you?

Apply now. Let’s build something extraordinary, together.