Revenue Integrity Analyst: Denials & Process Improvement

Hunterdon Health; Flemington (NJ); On-site; USD 69,000 - 87,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Tuition reimbursement

Retirement savings

Job summary

HHS Hunterdon Healthcare System Inc. is seeking a Revenue Integrity Analyst to lead in-depth analysis of clinical and billing data to identify denial preventions and process improvements.

You will coordinate with providers, payers, and internal teams to optimize charging, documentation, and compliance while driving changes across the revenue cycle. You will develop action plans based on root cause findings, perform audits, and mentor staff in best practices for revenue integrity.

Qualifications

• Bachelor degree in Arts, Business, Finance or Education required.
• 2–5 years’ experience in a Revenue Integrity role.
• Knowledge of DRG/APC payment methodology and contract analytics.
• Proficient in Excel and Word; strong writing and communication.
• Experience with UR systems, denials, and payer audits.

Responsibilities

• Manage clinical denial worklist and communicate findings to leadership.
• Conduct ad hoc revenue cycle regulatory risk research and improvement plans.
• Serve as technical resource on regulatory changes and denials prevention.
• Coordinate with payer contacts; review contracts against third party tools.
• Lead denial coordination and root cause analysis with teams to reduce denials.
• Audit denials (outpatient/inpatient) and develop prevention processes.

Skills

Excel

Word

Writing

Payer contracting

Denials analysis

Root cause analysis

Revenue cycle

Education

Bachelor's degree in Arts/Business/Finance/Education

Job description

HHS Hunterdon Healthcare System Inc. is seeking a Revenue Integrity Analyst to lead in-depth analysis of clinical and billing data to identify denial preventions and process improvements.

You will coordinate with providers, payers, and internal teams to optimize charging, documentation, and compliance while driving changes across the revenue cycle. You will develop action plans based on root cause findings, perform audits, and mentor staff in best practices for revenue integrity.