- Provide support for assigned service lines and in collaboration with your team, performs reviews related to Charge Description Master (CDM) integrity.
- Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payor requirements.
- Assesses the accuracy and build of all charging workflows in EPIC, including documentation, dictionaries, preference lists and other interface or third-party charging systems.
- Provides PHS Enterprise guidance, communication and education on correct charge capture, coding and billing processes.
- Leads and participates in moderately complex projects related to revenue cycle initiatives.
- Collaborates with Partners eCare (PeC), Revenue Cycle Operations staff, Compliance, Budget Office, PHS Coding, Internal Audit and other Revenue and Finance departments on revenue management initiatives.
- Analyzes Epic work/error que data and performs root cause analysis. Executes on work plans to correct identified deficiencies. Formally prepares and presents findings in standard presentation for other committees, including leadership.
- Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications. Executes on work plans to adapt systems and processes to accommodate changes.
- Coordinate off site cost center meetings with Revenue Integrity team members.
- Attend seminars/webinars on payor regulations and annual code set changes.
- Professional development to include training and support of coding certifications
- Three to five years of experience in a hospital setting or within the healthcare industry preferred.
- Bachelor's degree in finance or science or equivalent combination of education and experience preferred.
- Applicable clinical or professional certifications/licenses such as COC, CPC or AHIMA-CCS are highly desirable.
- Ability to review, analyze and interpret payor payment policies, billing guidelines, and state and federal regulations.
- Financial analysis application skills, including database development and report generation.
- Advanced Excel and Access skills required.
- Strong customer service skills
- Well-developed, formal presentation skills.
- Comfort in presenting to and interacting with senior levels of hospital management and with physician leaders.
- Excellent organizational and project management skills.
- Capacity to manage time effectively, attention to detail, and follow through.
- Well-developed research skills.
- Strategic thinker with business acumen.
- Advanced level root cause analysis
- Epic healthcare system experience preferred.
-
Integration Analyst
3 weeks ago
Insight Global Boston, United StatesPosition: Integration Analyst · Location: Onsite in Brighton, MA or Lawrence, MA · Duration: 6 month contract to hire · The Retail Integration Analyst will work as part of the Global Retail IT team on technology projects products and supporting issues as related. The successful ...
-
Revenue Integrity Analyst
1 week ago
East Boston Neighborhood Health Center Boston, United StatesThank you for your interest in careers at EBNHCEverywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the fr ...
-
Integration Analyst
3 weeks ago
Insight Global Boston, United StatesPosition: Integration Analyst · Do you have the skills to fill this role Read the complete details below, and make your application today. · Location: Onsite in Brighton, MA or Lawrence, MA · Duration: 6 month contract to hire · The Retail Integration Analyst will work as par ...
-
Senior Revenue Integrity Analyst
3 weeks ago
Brigham and Women's Hospital Boston, United StatesJob Description - Senior Revenue Integrity Analyst · Senior Revenue Integrity Analyst · - · ( · ) · This is a fully remote position, eastern standard business hours. · About Us · As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, ...
-
Senior Revenue Integrity Analyst
1 week ago
Partners Healthcare System Boston, United StatesThis is a fully remote position, eastern standard business hours. · About Us · As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Br ...
-
Financial Analyst Revenue Integrity
1 day ago
Massachusetts General Hospital Boston, United StatesReporting to the Clinical Trial Revenue Manager, the Financial Analyst - Revenue Integrity plays an important role in a high-profile group tasked with improving revenue results by taking a broad view of clinical and financial processes, functions, an Financial Analyst, Revenue, F ...
-
Financial Analyst Revenue Integrity
1 day ago
Mass General Brigham Boston, United StatesAnalyzes the full financial life of a clinical trial to determine additional revenue opportunities Creates and sends invoices, fixing billing errors and communicating across departments to ensure accuracy. Reviews contracts and payment terms closely Financial Analyst, Revenue, In ...
-
Revenue Integrity Analyst II
3 weeks ago
Partners Healthcare System Boston, United StatesAs a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigh ...
-
Integrations Analyst, Senior Associate
2 days ago
PwC Boston, United StatesSpecialty/Competency: Functional & Industry Technologies · Industry/Sector: Not Applicable · Time Type: Full time · Travel Requirements: Up to 80% · A career within Functional and Industry Technologies services will provide you with the opportunity to build secure and new digital ...
-
Commonwealth of Massachusetts Boston, United StatesAn Official website of the Commonwealth of Massachusetts · ALERT · Effective January 25, 2024, Executive Order #627 cements the Commonwealth's well-established practice of skills-based hiring, paving the way to a more equitable hiring process. The Commonwealth is committed to e ...
-
Commonwealth of Massachusetts Boston, United StatesAn Official website of the Commonwealth of Massachusetts · ALERT · Effective January 25, 2024, Executive Order #627 cements the Commonwealth's well-established practice of skills-based hiring, paving the way to a more equitable hiring process. The Commonwealth is committed to ens ...
-
UI Business Analyst with Epic Integration
3 weeks ago
BigRio Boston, United StatesJob Description: UI Business Analyst with Epic Integration · Location: Remote · Duration: 2 Months Contract with strong possibility of extension · About BigRio: · BigRio is a leading technology consulting firm specializing in providing innovative solutions to healthcare, financi ...
-
Retail Business Analyst
2 weeks ago
Insight Global Boston, United StatesPosition: Business Analyst (Retail) · Location: Onsite 3 days per week in Lawrence or Brighton · Duration: 6 month contract with extension or conversion · Pay Range: $48-50/hr · Required Skills and Experience * · -3+ years Business Analyst supporting ERP Systems · -Retail Industr ...
-
Financial Operations Analyst
2 weeks ago
Insight Global Boston, United StatesRequired Skills and Experience * · 5+ years working as a Data Operational Analyst · Experience and strong understanding of SQL · Experience with any Data Management System/Data Catalogue expertise · Strong experience with Data Lineage and Data Testing/Validating · Experience with ...
-
Senior Member Credit Analyst
12 hours ago
Federal Home Loan Bank of Boston Boston, United StatesThe Federal Home Loan Bank of Boston is a leading provider of wholesale funding for housing and community finance in New England serving more than 420 financial institutions across the region. The Federal Home Loan Bank of Boston is committed to making New England a better place ...
-
Clinical Operations Analyst
4 days ago
Medasource Boston, United StatesClinical Operations Analyst · Boston, Massachusetts (Hybrid) · 1 year contract with likelihood of extension · Project Goal & Overview: · Our client is seeking a highly experienced Senior Clinical Analyst to lead and execute enterprise initiatives for clinical operations teams. A ...
-
Geographic Information Systems Analyst
3 weeks ago
LinTech Global, a Dexian company Boston, United StatesSenior GIS Programmer Analyst · LOCATION: Boston, MA; Hybrid Schedule · Position Overview: · The GIS Analyst will also be involved in geospatial analysis. A strong background in GIS using ESRI ArcMap or Pro tools, such as Spatial Analyst, for all geospatial data formats is desire ...
-
Senior, Business Analyst, Asset Management
2 weeks ago
QUANTEAM - North America (RAINBOW PARTNERS Group) Boston, United StatesAs the founding entity of RAINBOW PARTNERS, Quanteam is a consulting firm specializing in the fields of Banking, Finance, and Financial Services. Guided by our core values of closeness, teamwork, diversity, and excellence, our team of 1,000 expert consultants, representing 35 dif ...
-
Senior HRIS Analyst
4 weeks ago
SDL Search Partners Boston, United StatesA global consulting firm based in Boston is looking to add a Senior HRIS Analyst to its team. This person will be a trusted Business Partner who will work cross-functionally with finance, accounting, HR, and IT, both domestically and internationally. Experience with Workday HCM i ...
-
Senior Workday Business Analyst
2 weeks ago
Texas Admin Partners Boston, United StatesJOB DESCRIPTION: · The Senior Workday Business Analyst (SWBA) will work with administrators across the institution to assess their business needs and challenges and develop business process solutions that follow industry best practices. With a primary focus on the Workday platfor ...
Revenue Integrity Analyst II - Boston, United States - Partners Healthcare System
Description
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system.
Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities.
Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential.Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors.
We support each member of our team to own their personal development-and we recognize success at every step.Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors.
These values guide how we get our work done:
Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
The Opportunity
Reporting to the Revenue Integrity Manager, the Revenue Integrity Analyst II plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.
Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, and the ability to meet deadlines while influencing, but not directly managing the work of others.
Principal Duties and Responsibilities
