Revenue Integrity Analyst

1 week ago

Jersey City, United States CarePoint Health Full time

About Us:
CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals - Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 3,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals.

CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.

What You'll Be Doing:
The Revenue Integrity Analyst is responsible for financial, statistical, and operational projects.
- Present detailed analysis of A/R performance and other financial reports and related outcomes/trends; researches and validates clinical data used to support medical necessity of billed services, conducts quality assurance reviews of various billing components, technical requirements, supporting processes, systems and required documentation; reviews outcomes with wide array of people (i.e., Practice/clinical Directors, Practice/clinical Managers, senior leadership, Coding Manager, hospital case management,
- Assist with maintaining the integrity of the CDM (charge description master) and the software program.
- Work with Revenue Cycle regulatory
- Facilitates meetings both internal and external; works collaboratively with system compliance leadership to coordinate and manage payer audit appeals.
- Serves as the Revenue Cycle regulatory liaison between the Practice and the department for efficient management of accounts receivable, point of service Revenue Cycle activity and all other areas within the Revenue Cycle area.
- Serves as an internal audit consultant to clinical providers.
- Identifies barriers and implements corrective action measures in partnership with leaders to ensure positive outcomes.
- Provides ongoing guidance, training and support to practices and departmental Revenue Cycle staff.
- Works collaboratively with physicians, leadership, and health professionals to accomplish organization and Revenue Cycle and practice goals.
- Responsible for monitoring and auditing of Revenue Cycle issues; monitor facility departments,
- Identify under
- and over-opportunities to improve Revenue Cycle compliance; identify under
- and over-charge items for immediate resolution by the provider/practice; identify areas for risk as well as improvement - conducts assessments both desk level and on site.
- Provides ongoing education to departments, practices management system, coding and regulatory complexities (i.e., billing and A/R management workflows, policies and requirements); develops and implements action and educational plans to target resolution of Revenue Cycle issues; identify training needs as well as appropriate hand-off for designated topics.
- Collaborates with Compliance, Patient Accounts, Health Information Services, Internal Audit and other Revenue and Finance departments on revenue management initiatives.
- Develops and maintains a Quality Audit program and associated reporting.
- Assists in performance of quality audits related to RI liaison and charge review coordinators identified areas of opportunity.
- Other duties as assigned.

What We're Looking For:

- Bachelor’s degree required in Healthcare Administration, Business Administration or similar; Master’s degree preferred
- eCW, Meditech, word, PowerPoint, Excel

What We Offer:

- Competitive pay
- Medical, dental, and vision insurance
- 401k with Company match
- Generous paid time off
- Paid Holidays
- Tuition Reimbursement
- Advancement and career development opportunities

**Covid-19 and Influenza Vaccinations are a requirement for employment at CarePoint Health. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from CarePoint.**

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.

Indeed Sponsored Job Hashtags: #carepointNC

  • Revenue Integrity Analyst

    1 week ago

    Jersey City, United States CarePoint Health Full time

    About Us: CarePoint Health is one of New Jerseys leading health care systems comprised of three long-standing and highly-regarded hospitals Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician...

  • Revenue Integrity Analyst

    1 week ago

    Jersey City, New Jersey, United States CarePoint Health Full time

    About Us:CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals - Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician...

  • Revenue Integrity Analyst

    1 month ago

    Kansas City, United States Tutera Senior Living & Health Care Full time

    Revenue Integrity Analyst Prominent Healthcare Ownership & Management Company - Kansas City, MO We are seeking a Revenue Integrity Analyst to join our talented team! If you are a dedicated, highly motivated, energetic, and dependable, WE WANT YOU! Apply today and let us show you how we are inspired by you. We offer a comprehensive benefits package that...

  • Revenue Integrity Analyst

    1 month ago

    Tuba City, United States Tuba City Regional Health Care Corp. Full time

    Navajo Preference Employment Act : In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation,...

  • Revenue Integrity Analyst

    3 weeks ago

    Tuba City, United States Tuba City Regional Health Care Corp. Full time

    Navajo Preference Employment Act : In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation,...

  • Data Integrity Analyst

    2 months ago

    Jersey City, United States Neptune Retail Solutions Full time

    Headquartered in Jersey City, NJ, Neptune Retail Solutions is the nation’s premier retail marketing services company. We are experts at influencing buying behaviors through disruptive, innovative, and results-oriented solutions, including in-store, home-delivered, and digital media tactics. Our powerful advertising and promotional programs are supported...

  • Revenue Analyst

    1 week ago

    Kansas City, Missouri, United States Broadridge Financial Solutions , Inc. Full time

    At Broadridge, we've built a culture where the highest goal is to empower others to accomplish more. If youre passionate about developing your career, while helping others along the way, come join the Broadridge team. Broadridge is growing We are seeking a remote, contract Revenue Analyst to join our expanding Broadridge Customer Communications team. As our...

  • Hospital Revenue Integrity Specialist

    1 week ago

    Oklahoma City, Oklahoma, United States Oklahoma Heart Hospital Full time

    Overview ONE TEAM. ALL HEART. At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort. OHH offers a competitive benefits program to all team members from the first day of employment.Top Tier...

  • Data Integrity Analyst

    2 months ago

    Jersey City, United States Neptune Retail Solutions Full time

    Job DescriptionJob DescriptionSalary: Headquartered in Jersey City, NJ, Neptune Retail Solutions is the nation’s premier retail marketing services company. We are experts at influencing buying behaviors through disruptive, innovative, and results-oriented solutions, including in-store, home-delivered, and digital media tactics. Our powerful advertising and...

  • Data Integrity Analyst

    3 weeks ago

    Jersey City, United States Neptune Retail Solutions Full time

    Job DescriptionJob DescriptionSalary: Headquartered in Jersey City, NJ, Neptune Retail Solutions is the nation’s premier retail marketing services company. We are experts at influencing buying behaviors through disruptive, innovative, and results-oriented solutions, including in-store, home-delivered, and digital media tactics. Our powerful advertising and...

  • Revenue Integrity Specialist

    4 weeks ago

    Granite City, United States Gateway Regional Medical Center Full time

    WE ARE GATEWAY REGIONAL MEDICAL CENTER! Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff,...

  • Revenue Integrity Specialist

    3 weeks ago

    Granite City, United States Gateway Regional Medical Center Full time

    WE ARE GATEWAY REGIONAL MEDICAL CENTER! Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff,...

  • Revenue Integrity Specialist

    1 week ago

    Granite City, Illinois, United States Gateway Regional Medical Center Full time

    Job Description Job Description WE ARE GATEWAY REGIONAL MEDICAL CENTEROur primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Senior Analyst Net Revenue

    2 weeks ago

    Salt Lake City, United States Intermountain Healthcare Full time

    Job Description: The Senior Analyst, Net Revenue provides analysis and reports related to the net revenue accounting function. The senior level analyst serves as a subject matter expert to others, performing complex to highly complex analysis requiring a robust skill set. This is a 100% remote position however, currently we are unable to consider candidates...

  • Revenue Integrity Specialist

    1 month ago

    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWE ARE GATEWAY REGIONAL MEDICAL CENTER!Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Revenue Integrity Specialist

    3 weeks ago

    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWE ARE GATEWAY REGIONAL MEDICAL CENTER!Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Revenue Operations Lead

    4 weeks ago

    Jersey City, United States Forbes Advisor Full time

    Job DescriptionJob DescriptionCompany DescriptionAt Marketplace, our mission is to help readers turn their aspirations into reality. We arm people with trusted advice and guidance, so they can make informed decisions they feel confident in and get back to doing the things they care about most.We are an experienced team of industry experts dedicated to...

  • Revenue Operations Lead

    3 weeks ago

    Jersey City, New Jersey, United States Forbes Advisor Full time

    Company DescriptionAt Marketplace, our mission is to help readers turn their aspirations into reality. We arm people with trusted advice and guidance, so they can make informed decisions they feel confident in and get back to doing the things they care about most.We are an experienced team of industry experts dedicated to helping readers make smart decisions...

  • Revenue Operations Lead

    3 weeks ago

    Jersey City, United States Forbes Advisor Full time

    Job DescriptionJob DescriptionCompany DescriptionAt Marketplace, our mission is to help readers turn their aspirations into reality. We arm people with trusted advice and guidance, so they can make informed decisions they feel confident in and get back to doing the things they care about most.We are an experienced team of industry experts dedicated to...

  • Revenue Operations Lead

    1 month ago

    Jersey City, New Jersey, United States Forbes Advisor Full time

    Company DescriptionAt Marketplace, our mission is to help readers turn their aspirations into reality. We arm people with trusted advice and guidance, so they can make informed decisions they feel confident in and get back to doing the things they care about most.We are an experienced team of industry experts dedicated to helping readers make smart decisions...