Revenue Integrity Analyst

2600 White Plains Hospital Medical Center; Nevada (IA); On-site; USD 69,000 - 104,000; Full time

Job summary

White Plains Hospital Medical Center in White Plains, NY is seeking a Revenue Integrity Analyst responsible for maintaining collaborative relationships with departments and ensuring charge reconciliation processes meet KPI metrics.

The role requires experience in hospital revenue cycle, knowledge of CPT/HCPCS, auditing charge capture tools, and training departments on updates; strong analytical skills are essential.

Qualifications

• 4-6 years of experience in a hospital business setting.
• 5+ years' experience in the hospital revenue cycle and charging.
• Proficient in healthcare billing rules and regulations.
• Strong analytical and organizational abilities.

Responsibilities

• Adheres to performance standards, policies and behaviors.
• Ensures charges are built correctly in the CDM and integrated with charging mechanisms.
• Audits charge capture tools and provides feedback.
• Oversees department charges and KPIs relative to budget and identifies root causes.
• Trains departments on charge capture tools, rules, and CPT/HCPCS updates.
• Monitors revenue integrity concerns and follows up as needed.
• Serves as a resource for revenue integrity issues.
• Communicates CDM maintenance activities.
• Reviews WQ volumes and audit outcomes to provide feedback.
• Tests and audits charge triggers to ensure systems work as intended.

Skills

Analytical skills

Organizational skills

Billing knowledge

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

City/State: White Plains, New York Department: Financial Services Patient Accounting_1 Work Shift: Day Work Days: MON-FRI Scheduled Hours: 9 AM-5 PM Hours Per Pay Period: 75 Pay Rate/Range: $69,257.57 - $103,897.17

Job Summary The Revenue Integrity Analyst is responsible for maintaining a positive, collaborative relationship with their assigned departments', ensuring they are following the charge reconciliation processes and are meeting their key performance indicator metrics.

Essential Functions

• 1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
• 2. Ensuring charges are built correctly in the CDM and are appropriately integrated with the clinical charging mechanisms
• 3. Expert on charge capture tools. Auditing and giving feedback as appropriate
• 4. Oversight of Department charges and KPIs, ensuring they are at or above budget and determining root cause if they are not
• 5. Training departments on charge capture tools, rules, regs, CPT/HCPCS/etc. updates and workflows
• 6. Monitor, investigate and resolve revenue integrity concerns and violations reported in their area and provide any necessary follow-ups
• 7. Serve as a resource for organizational and operational revenue integrity issues
• 8. Communicate on CDM maintenance activities.
• 9. Work Revenue Integrity WQs, monitor department WQs. Provide feedback based on WQ volumes, audit outcomes and daily charge statistics
• 10. Validate/test/audit charge triggers to ensure systems are working as expected
• 11. Keep abreast of healthcare industry trends
• 13. Performs all other related duties as assigned

Qualifications

• High School Required or GED Required
• 4-6 years
• 5+ years' experience in a hospital business setting, including full scope revenue cycle and charging
• Required Ability to manage multiple concurrent activities (Medium proficiency)
• Working knowledge of healthcare coding and billing rules and regulations (Medium proficiency)
• Strong analytical and organizational skills (High proficiency)
• Microsoft Office Suite (Medium proficiency)

White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

White Plains Hospital is a proud member of the Montefiore Health System, serving as its tertiary hub of advanced care in the Hudson Valley. The Hospital is a 292-bed not-for-profit health care organization with the primary mission of providing exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas. White Plains Hospital has outpatient medical facilities across Westchester, including multispecialty practices in Armonk, Hawthorne, Larchmont, New Rochelle, Rye Brook, Scarsdale, Somers, Yonkers and Yorktown Heights; and Scarsdale Medical Group locations in Harrison and Scarsdale. The Hospital is fully accredited by the Joint Commission, and in 2025 received another 5-star rating from the Centers for Medicare & Medicaid Services (CMS) - the highest distinction offered by the federal agency - for the fourth consecutive year. In addition, the Hospital received its third Magnet designation from the American Nurses Credentialing Center (ANCC), a distinction held by only two percent of hospitals in the country. White Plains Hospital has consistently received the Outstanding Patient Experience Award from Healthgrades, and in 2025 was awarded an "A" Safety Grade from the Leapfrog Group for the 14th consecutive time.