Revenue Integrity Analyst: Charge Capture & Compliance

White Plains Hospital Inc; City of White Plains (NY); On-site; USD 69,000 - 104,000; Full time

Job summary

White Plains Hospital Medical Center is seeking a Revenue Integrity Analyst to maintain positive relationships with assigned departments and ensure adherence to charge reconciliation processes while meeting KPI metrics.

The role emphasizes overseeing CDM charging, auditing charge capture tools, and providing guidance on CPT/HCPCS updates. Strong analytical and organizational skills are essential in a hospital revenue cycle environment.

Qualifications

• Strong analytical and organizational skills.
• Knowledge of healthcare coding and billing rules.
• Ability to manage multiple concurrent activities.
• Familiarity with charge capture tools and CPT/HCPCS updates.
• Proficiency with Microsoft Office applications.

Responsibilities

• Understand and adhere to performance standards, policies, and behaviors.
• Ensure charges are built correctly in the CDM and integrated with charging mechanisms.
• Audit charge capture tools and provide feedback as appropriate.
• Monitor charges and KPIs, and investigate root causes when not meeting budget.
• Train departments on charge capture tools, rules, regs, and workflow updates.
• Validate/test/audit charge triggers to ensure systems work as expected.

Skills

Analytical skills

Organizational skills

Charge reconciliation

Multi-task management

Microsoft Office

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

White Plains Hospital Medical Center is seeking a Revenue Integrity Analyst to maintain positive relationships with assigned departments and ensure adherence to charge reconciliation processes while meeting KPI metrics.

The role emphasizes overseeing CDM charging, auditing charge capture tools, and providing guidance on CPT/HCPCS updates. Strong analytical and organizational skills are essential in a hospital revenue cycle environment.