Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing

Company Overview NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across six inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition‑free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health. Position Summary We have an exciting opportunity to join our team as a Revenue Integrity Analyst (FGP) in Manhattan, CBO North Billing. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process. The incumbent will also assist with the identification of front‑end operational improvements in the Faculty Practices. Job Responsibilities Conduct internal audits and reviews activities to improve the revenue cycle, claims production and coding integrity. Assist with special projects as needed. Provide onsite support and assistance for new practices; train staff on workflows and EPIC Charge and Edit work queues. Monitor the Ambulatory Open Encounters report to ensure that charges are submitted on time. Lead and participate in moderately complex projects related to revenue cycle initiatives. Analyze billing error and denial data to identify root causes and execute work plans to correct identified deficiencies. Conduct special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc. Identify front‑end operational improvements and assist with re‑training. Provide guidance and education related to billing and charge capture of services to multiple staff levels; facilitate proper recording of transactions in compliance with state, federal, and other third‑party payer guidelines. Maintain collaborative relationships with internal and external teams to ensure integration and alignment of department priorities. Review, monitor, and facilitate implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements. Perform charge reconciliation process to ensure that charges are captured. Perform various financial analyses and provide recommendations based on activities; review monthly FGP revenue cycle metrics for areas of improvement within practices. Implement charge capture corrective measures and monitoring tools to ensure sustainability of changes; review and monitor statistics and key performance indicators to identify improvement opportunities. Work directly with Faculty Practice Billing Coordinators on developing and maintaining solvency within each practice’s revenue cycle. Review, monitor and track charge and edit work queues of each billing coordinator and provide support if needed. Minimum Qualifications Bachelor's degree and 4‑6 years of auditing or revenue cycle management experience in a health care environment, or an equivalent combination of education and experience. Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals. Excellent organizational and project management skills. Strong time management, attention to detail, and follow‑through. Well‑developed research skills. Strong knowledge of revenue cycle process, revenue integrity and its impact throughout the revenue cycle. Knowledge of Current Procedure Codes (CPT) and International Classification of Diseases Codes (ICD‑9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third‑party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Ability to plan, schedule, assign, coordinate, and evaluate the work of billing staff; provide training; read, interpret, and apply policies and procedures; draw conclusions and make recommendations; exercise independent judgment; maintain effective working relationships with subordinates, superiors, and others; maintain confidentiality. Preferred Licenses Certified Professional Coder (CPC). Preferred Qualifications CPC Certification. Benefits We offer a comprehensive benefits and wellness package that supports employees at any stage of life. This includes financial security benefits, a generous time‑off program, employee resource groups for peer support, and a holistic wellness program focused on physical, mental, nutritional, sleep, social, financial, and preventive care. Our benefits are designed to let employees focus on what truly matters. Equal Opportunity Employer NYU Langone Health is an equal opportunity employer and is committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for this role is $70,481.60 – $94,605.00 annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses, incentives, differential pay, or other forms of compensation or benefits. Know Your Rights Workplace discrimination is illegal. #J-18808-Ljbffr NYU Langone Hospitals