Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt

Capital Health seeks a full-time Revenue Cycle Data Analyst on-site in Princeton, NJ. The role centers on delivering precise reporting and insights for Revenue Integrity and Denials Management, supporting operational and executive decision-making and collaborating with clinical, billing, coding, case management, and finance teams to improve data visibility and reduce avoidable denials. Salary range: USD 64,625 - 84,448 per year.

Responsibilities

• Deliver accurate, leadership-facing reporting and insights focused on Revenue Integrity and Denials Management within the Revenue Cycle.
• Support operational and executive decision-making by identifying trends, quantifying revenue risk and opportunities, and tracking performance across pre-bill, claim adjudication, denial, and appeal workflows.
• Collaborate with clinical, billing, coding, case management, and finance teams to enhance data visibility, reduce avoidable denials, and strengthen end-to-end revenue cycle performance.
• Develop, maintain, and distribute recurring and ad hoc revenue cycle reports for leadership and operations teams.
• Build dashboards and scorecards focused on denial trends, appeal performance, underpayments, pre-bill edits/holds, and revenue integrity outcomes.
• Analyze root causes of denials by payer, denial reason, service line, DRG, location, and workflow ownership.
• Monitor and report key KPIs including initial denial rate, preventable denial rate, appeal overturn rate, days to appeal submission/resolution, DNFB aging and pre-bill hold impact, and net collections trends.
• Support denials task force and revenue integrity governance by preparing meeting materials, trend summaries, and action-oriented insights.
• Reconcile data across source systems (EMR, billing, clearinghouse, denials/work queue tools) and validate report accuracy.
• Monitor charge capture performance and identify potential revenue leakage across inpatient and outpatient workflows, including missed charges, late charges, charge lag, and documentation-to-bill discrepancies.
• Analyze trends in late charges and post-bill adjustments; quantify financial impact and partner with clinical and operational leaders to strengthen charge capture controls.
• Define metric logic, data definitions, and reporting standards in collaboration with leaders.
• Identify process breakdowns and coordinate with operations on corrective action tracking and follow-up reporting.
• Assist with payer policy impact analyses and retrospective reviews to quantify financial and operational effects.
• Contribute to annual goal setting, baseline development, and performance monitoring across revenue cycle priorities.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in healthcare administration, Finance, Business, Data Analytics, or a related field.
• Three years of experience in healthcare revenue cycle, revenue integrity, denials, reimbursement analytics, or a related financial/operational analytics role.
• Strong analytical skills with the ability to interpret complex healthcare claims and reimbursement data.
• Advanced Excel proficiency (pivot tables, lookups, formulas, data validation).
• Experience creating reports and dashboards for leadership audiences.
• Strong communication skills with the ability to translate data into clear business insights and recommendations.

Technologies

• Excel
• EMR

Benefits

• Medical Plan
• Prescription drug coverage and in-house employee pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) including Healthcare and Dependent Care
• Retirement Savings and Investment Plan
• Basic Group Term Life and AD&D Insurance
• Supplemental Life Insurance options
• Disability Benefits – LTD and STD
• Employee Assistance Program
• Commuter benefits including Transit and Parking
• Voluntary Life Insurance options for spouse, employee, and child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

Physical Demands and Work Environment

• Frequent physical demands include standing, walking, and talking or hearing.
• Occasional physical demands include climbing stairs or ladders, carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, squatting or kneeling, and wrist position deviation.
• Continuous physical demands include sitting, fine motor activity, and keyboard use/repetitive motion.
• Lifting requirements: up to 20 lbs floor-to-waist and up to 10 lbs waist level and above.
• Sensory requirements include high levels of accuracy, near vision, far vision, color discrimination, and basic depth perception and hearing.
• Anticipated occupational exposure: none noted.

Minimum Requirements

• Education: Bachelor’s degree in healthcare administration, Finance, Business, Data Analytics, or related field.
• Experience: Three years in healthcare revenue cycle, revenue integrity, denials, reimbursement analytics, or related financial/operational analytics role.
• Knowledge and Skills: Strong analytical abilities for interpreting complex healthcare claims and reimbursement data; advanced Excel skills; experience creating leadership-facing reports and dashboards; strong communication skills for translating data into actionable business insights.
• Mental, Behavioral and Emotional Abilities: Ability to meet deadlines with attention to detail; sound judgment; metric-driven and results-oriented.
• Usual Work Day: 8 Hours
• Reporting Relationships: This position does not supervise employees.