Revenue Integrity Analyst – Denials & Revenue Optimization

Talentify; Flemington (NJ); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Competitive benefits

Tuition reimbursement

Retirement savings

Job summary

Hunterdon Health is seeking a Revenue Integrity Analyst to lead in-depth analyses of patient billing data, identify contractual and documentation gaps, and implement action plans to prevent denial and improve cash flow. The role collaborates across departments to ensure accurate charge capture and compliance with billing guidelines.

Responsibilities include managing denial worklists, conducting root-cause analyses, and developing continuous improvement frameworks.

Qualifications

• Bachelor degree in arts, business, finance or education with related experience.
• Experience in Revenue Integrity and denial management is required.
• Proficient in Excel and writing/communication skills.

Responsibilities

• Manage and reconcile clinical denial worklist; communicate findings to leadership.
• Conduct ad hoc research on regulatory risk and payer issues; improve programs.
• Provide guidance, training and support to Revenue Cycle staff.
• Lead audits of denials and coordinate denial prevention with inter-department teams.
• Act as liaison between PFS and payer contacts; manage payer logs and contract reviews.
• Develop and implement process improvements to reduce cash delays.

Skills

Excel

Writing/Communication

Payer Contracting

Denial management

Analytics/Reporting

UR systems

APC/OPPS knowledge

DNFB knowledge

Time management

Project leadership

Education

Bachelor's Degree in Arts, Business, Finance or Education

Tools

Cobias

PMMC

Excel used for payer logs

Job description

Hunterdon Health is seeking a Revenue Integrity Analyst to lead in-depth analyses of patient billing data, identify contractual and documentation gaps, and implement action plans to prevent denial and improve cash flow. The role collaborates across departments to ensure accurate charge capture and compliance with billing guidelines.

Responsibilities include managing denial worklists, conducting root-cause analyses, and developing continuous improvement frameworks.