Revenue Integrity Analyst — Charge Master & Pricing Lead

Saint Peter’s Healthcare System; New Brunswick (NJ); On-site; USD 91,000 - 150,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Match

Tuition Assistance

Free Parking

Job summary

Saint Peter’s Healthcare System in New Jersey is seeking a Revenue Integrity Analyst to own the Epic charge description master, pricing, and coding workflows. You will maintain charge routing rules and ensure accurate revenue coding across services.

You will identify missing charges, analyze reimbursements, monitor high-risk areas, and develop training for end-users. This full-time role collaborates with Finance and Managed Care on price changes and CDM governance.

Qualifications

• Bachelor's degree in health information management, healthcare administration, finance, business, nursing, or related field.
• Minimum five (5) years of hospital revenue cycle experience with direct chargemaster, revenue integrity, or hospital billing responsibility.
• Demonstrated working knowledge of CPT, HCPCS, revenue codes, modifiers, UB-04 claim structure, NCCI and MUE edits, and OPPS/APC methodology.
• Demonstrated ability to analyze charge, revenue, and reimbursement data and to communicate findings to both clinical and financial audiences.
• Demonstrated experience training or advising non-financial clinical staff on charge capture.
• Strong Excel skills; ability to work with large charge and claim data extracts.

Responsibilities

• Own the accuracy and integrity of the Epic charge description master, including charge codes, descriptions, CPT/HCPCS assignment, revenue codes, modifiers, units of service, and effective dating.
• Maintain fee schedule groups and pricing records; ensure price changes are applied to the correct entities.
• Maintain charge routing rules, charge triggers, and order-entry linkage.
• Identify and pursue missing charges through late charge analysis, revenue and usage variance review, and department reconciliation exception reporting.
• Analyze reimbursement variances where the root cause is charge or CDM related.
• Monitor high-risk charging areas on a defined cadence for high-dollar areas.
• Develop and deliver role-based charge capture and reconciliation training for all end-users.
• Serve as first-line consultant to clinical departments on how a new service, order, supply, or drug should be built, charged, and reconciled.
• Perform routine charge audits validating that services provided are documented, charged, coded, billed, and reimbursed correctly and consistently.
• Lead the annual pricing update process in partnership with Finance and Managed Care, including modeling of price change impact by payer, service line, and volume.
• Serve as operational lead to the Financial Integrity Committee. Ensure that build decisions are coordinated amongst all parties.

Skills

Excel

Data analysis

Communication

Training

Education

Bachelor's degree in health information management, healthcare administration, finance, business, nursing, or related field

Job description

Saint Peter’s Healthcare System in New Jersey is seeking a Revenue Integrity Analyst to own the Epic charge description master, pricing, and coding workflows. You will maintain charge routing rules and ensure accurate revenue coding across services.

You will identify missing charges, analyze reimbursements, monitor high-risk areas, and develop training for end-users. This full-time role collaborates with Finance and Managed Care on price changes and CDM governance.