Revenue Integrity Analyst

Revenue Integrity Analyst

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place To Work.

Position 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 and Responsibilities Include the Following :

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

Education & Experience Requirements :

Core Competencies :

Physical / Mental Demands / Requirements & Work Environment :

Primary Population Served

Check appropriate box(s) below :

Neonatal (birth – 28 days)

Patients with exceptional communication needs

Infant (29 days – less than 1 year)

Patients with developmental delays

Pediatric (1 – 12 years)

Patients at end of life

Adolescent (13 – 17 years)

Patients under isolation precautions

Adult (18 – 64 years)

Patients with cultural needs

Geriatric (>

65 years)

All populations

Bariatric Patients with weight-related comorbidities

Non-patient care population

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

Salary Range : $

$70,989.54- $103,897.17

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