Data Jobs in Princeton, NJ

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25d ago

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

Capital Health Princeton, NJ

Princeton, NJ

25d ago

$65k - $84k/yr Full time Accounts Receivable Analyst Analytics

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Job Description

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.

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