Top 26 Claims analyst Jobs in South Dakota

Revenue Integrity Analyst
Avera —Sioux Falls, SD
- $25.50 - $38.25 an hour
- Online Application
- Mid-level
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- Finance
- Paid time off
2d
Coder Analyst
Avera —Sioux Falls, SD
- $28.00 - $41.75 an hour
- Online Application
- Research
- Mid-level
- Bachelor's degree
- Paid time off
2d
Revenue Integrity Analyst
Horizon Health —Howard, SD
- Full-time
- Mid-level
- Commercial
- Paid holidays
- Disability insurance
Quick Apply
2d
Logistics Analyst
Twin City Fan Companies LTD —Brookings, SD
- $54,000 - $62,000 a year
- Extended hours
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Disability insurance
7d
Configuration and Coding Analyst
Avera —Sioux Falls, SD
- $63,960 - $96,200 a year
- Online Application
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Paid time off
10d
Senior Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- Senior level
- 10 years
Quick Apply
Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
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Facets Configuration Analyst
ClinDCast LLC —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
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Facets Analyst
Revolution Technologies, LLC —United States
- $38.19 - $45.00 an hour
- Full-time
- Remote
- 5 years
- Analysis skills
- US work authorization
- Health savings account
- Health insurance
Quick Apply
4d
RCM Analyst/Developer (Cerner)
ClinDCast LLC —United States
- Full-time
- Remote
- Writing skills
- Mid-level
- SQL
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Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
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Health Edge Configuration Analyst
Vytwo —United States
- $45 an hour
- Full-time
- Remote
- Mid-level
- US work authorization
- 1 year
Quick Apply

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Revenue Integrity Analyst

Avera -
Sioux Falls, SD

Apply Now

Job Details

Full-time
$25.50 - $38.25 an hour
2 days ago

Benefits

Paid time off

Qualifications

Optimizing workflow processes
Performance dashboard reports
Financial audits
TJC
Appeals
Contract documentation review
Contract management
Contract review
Data visualization software proficiency
Process audits
Overseeing healthcare denial management
Healthcare Administration
CMS
Dashboard creation
Business intelligence report generation
Dashboard creation support
Medical billing compliance checks
Contract performance monitoring
Associate's degree in finance
Mid-level
Contract management experience in healthcare
Associate's degree in healthcare administration
Trend analysis
Finance
Business intelligence tools
Bachelor's degree
Charge capture (medical billing)
Contractual compliance checks
Continuous improvement
Quality improvement

Full Job Description

Location:

Avera Downtown Building-Sioux Falls

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$25.50 - $38.25

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The Revenue Integrity Analyst is responsible for enhancing financial performance, ensuring accurate charge capture, and securing appropriate reimbursement across the revenue cycle. This role combines expertise in analytics, charge auditing, and payment integrity to support strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical, billing, coding, IT, and payer relations teams to identify trends, resolve discrepancies, and drive continuous improvement across Hospital Billing (HB) and Professional Billing (PB) services.

What you will do

Design, maintain, and enhance dashboards and scorecards for denials, write-offs, payer performance, and charge activity. Analyze trends and translate complex data into actionable insights for stakeholders.
Conduct audits and Revenue Guardian checks to validate charge accuracy and completeness. Perform payer-specific audits and monitor ED Discharge and Charge Tracker Reports.
Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission.
Investigate denials and underpayments, identify root causes, and recommend process improvements.
Manage appeals for underpaid claims, track outcomes, and report on recovery efforts and payment trends.
Review high-dollar write-offs for appropriateness and escalate discrepancies as needed.
Oversee Post-Service Single Case Agreements (SCAs) to ensure reimbursement accuracy and adherence to contract terms.
Partner with clinical, operational, and payer relations teams to resolve discrepancies and improve documentation.
Participate in audits, strategic initiatives, and projects aimed at financial optimization and revenue integrity.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

Associate's in Healthcare Administration, Finance, Business Analytics, or related field and/or 2-3 years of experience in healthcare revenue cycle analytics, charge auditing, or payment integrity.
Two to three years experience in healthcare revenue cycle analytics, charge auditing, or payment integrity.
Knowledge of healthcare billing, denial management, and/or payer reimbursement methodologies.

Preferred Education, License/Certification, or Work Experience:

Bachelor's
Certified Revenue Cycle Representative (CRCR) - Healthcare Finance Management Association (HFMA) Upon Hire or
Certified Specialist Payment & Reimbursement (CSPR) - Healthcare Finance Management Association (HFMA) Upon Hire
Proficiency in data visualization tools (e.g. Power BI, Tableau) and Excel
Experience with Epic reporting tools (e.g., SlicerDicer, Reporting Workbench, Clarity, billing and contract modules)

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera’s values of compassion, hospitality, and stewardship.
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [email protected] .

Apply Now

Refine Your Search

claims analyst jobs in south dakota

Revenue Integrity Analyst

Coder Analyst

Revenue Integrity Analyst

Logistics Analyst

Configuration and Coding Analyst

Senior Facets Configuration Analyst

Facets Configuration Analyst

Facets Configuration Analyst

Facets Analyst

RCM Analyst/Developer (Cerner)

Epic Tapestry UM Analyst

Health Edge Configuration Analyst

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