Boston Medical Center (BMC)

Medical Billing and Coding

• Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record
• Performs chart audits to ensure correct coding and charge capture
• Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers
• Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures
• Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems
• Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing
• Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS)
• Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
• Maintains productivity standards set forth in Departmental Policies and procedures
• Maintains knowledge of coding and professional skills
• Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission
• Follows established Hospital infection control and safety procedures.
• Review and respond to coding questions
• Ensure billed service is being accurately coded
• Perform random chart audits
• Provide continual coding updates
• Research coding issues that arise
• Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems
• Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines
• Reviews charts for documentation and signature
• Performs other duties as needed
• Must adhere to all of BMC’s RESPECT behavioral standards

Physician Practice Coder

Manager

• Provides skilled nursing services to patients struggling with substance use disorders.
• Ongoing assessment, intakes, evaluations, triage, teaching, inductions, stabilizations, and monitoring of patients in Office-Based Addiction Treatment (OBAT) model.
• Provide psychiatric care of patients within the Addiction Psychiatry Treatment Program (APTP).
• Collaborates with team members, clinic settings at BMC and outside referral sites.
• Works with providers from addiction and community health settings in assisting patients and supporting their referral needs.
• Review intake assessment with nursing team and provider and establish appropriate plan of care for patient.
• Revise patient plan of care with the addiction treatment team as needed to address patient needs and issues.
• Collaboration, communication, and meetings with addiction treatment team as needed and required.
• Review consents and treatment contracts with patients and significant others.
• Ongoing management of patients receiving medications for addiction (opioids, alcohol, and stimulant use disorders).
• Education and assessment of patients looking to access opioid treatment programs.
• Assessment of signs and symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) scale.
• Follow State and Federal guidelines in providing care to opioid dependent patients.
• Ongoing psychiatric care of patients referred to the Addiction Psychiatry Treatment Program.
• Provides follow up care in person and via telephone when needed.
• Must adhere to all of BMC’s RESPECT behavioral standards.

Addiction Nurse Care Manager – Addiction Psychiatry Treatment Program

• The Nurse Manager is a registered nurse who functions as a patient care provider, supervisor and clinical resource for staff.
• She/he implements management and clinical activities.
• Coordinates clinical activities to ensure that the nursing process is operationalized utilizing Standards of Care/Standards of Practice.
• Primary responsibilities include ensuring the provision of patient care consistent with department/hospital and regulatory standards.

Nurse Manager – Cancer Care

Analyst

• Monitor EFT transactions and bank statements
• Prepare vendor information for the Cash Supervisors
• Daily, weekly, and monthly cash reconciliation
• Identify trends and present findings to senior management
• Perform ad-hoc analytical tasks as assigned

Cash Processing Analyst

Clinical Research

• The Research Assistant will perform research activities using approved techniques.
• Conducts patient recruitment, administers questionnaires, abstracts medical records, maintains patient databases, performs administrative tasks, assists in grant preparation, performs literature searches and participates with the research team in preparation of data and other reports.
• Assists in data collection and provides feedback on study’s progress.
• Recruits subjects to participate in the study by using approved methodologies, such as, reaching to healthcare providers for referrals, visiting clinics, sending mailouts, using approved advertisements, etc.
• Conducts the enrollment of study participants, including explaining research procedures, and obtaining informed consent of subjects and/or their families.
• Schedules appointments of study participants; conducts reminder phone calls and/or sends mailouts.
• Obtains and distributes payment vouchers for participant reimbursements/participation.
• Responsible for the administrative aspects of the research study, including: managing program records and handling communication needs of the program.
• Prepares and maintains Institutional Review Board (IRB) approvals and correspondence, including amendments and renewals as necessary.
• Perform administrative duties associated with the study’s Data Monitoring and Safety Board, tracking and reporting adverse events and collecting data specified by the DSMB.

Clinical Research Assistant I, Pediatrics

Financial Planning and Analysis

• Reporting to the Manager of Financial Planning
• Perform variance analysis to compare actual financial outcomes with budgeted figures
• Provide guidance and support to departments regarding budget management and financial planning
• Evaluate financial data to identify potential areas for cost reduction and efficiency improvements
• Provide recommendations based on financial analysis to support decision-making
• Lead complex financial analyses, including detailed variance analysis and trend forecasting
• Prepare regular financial dashboards for senior leadership, highlighting key performance indicators and financial metrics
• Analyze patient volume trends and utilize reporting tools to track key volume metrics
• Serve as a liaison between the finance department and other departments
• Coordinate cross-functional teams to achieve project goals within budget and timeline constraints
• Assist in developing and enforcing financial policies and procedures
• Mentor and guide junior financial analysts, providing support and development opportunities to enhance their skills and performance

Senior Financial Analyst, Financial Planning

Procurement

• Provide enterprise leadership for pharmacy procurement and sourcing across inpatient, outpatient, and community hospital settings
• Establish purchasing governance, supplier strategy, and pricing discipline
• Lead design and execution of standardized procurement strategies aligned with contracting, inventory operations, and supply chain planning
• Oversee purchasing across all sites and collaborate with pharmacy leaders
• Serve as owner of wholesaler, distributor, and manufacturer relationships
• Lead sourcing strategy and oversee vendor performance management
• Collaborate with 340B leadership to support procurement strategies

Director, Pharmacy Procurement – Strategic Sourcing

Operations

• Provide operational leadership for inventory management across outpatient pharmacies and community health centers.
• Own inventory operations for all outpatient pharmacies and Community Health Centers (CHC).
• Ensure accurate receiving, storage, rotation, cycle counting, and replenishment of medications.
• Oversee the ordering of drug specifically for out-of-stock prescriptions.
• Collaborate with procurement leaders to ensure proper communication and workflows for out-of-stock medications.
• Monitor inventory performance indicators, including turns, expirations, stockouts, and inventory accuracy.
• Coordinate responses to recalls, backorders, and supply disruptions impacting outpatient locations.
• Directly manage outpatient inventory specialists.
• Define clear roles, responsibilities, and standard work for inventory staff.
• Provide training, coaching, and performance management.
• Establish appropriate leadership coverage through clear structure and defined accountability.
• Reduce expired medications, excess inventory, and emergency purchasing through proactive inventory management.
• Coordinate returns, credits, and disposition of expired or non-usable inventory.
• Lead continuous improvement efforts to standardize outpatient inventory workflows.
• Ensure proper handling of serialized product during receiving, storage, and distribution.

Manager, Retail Pharmacy Inventory Operations

• The Applications Analyst II is a business specialist and technology generalist responsible for aligning technology solutions with business strategies.
• Proactively identify opportunities to apply technologies to business processes.
• Inform and advise customers on information system technologies' functionality, costs, benefits, and implementation requirements.
• Functions as technical liaison and broker of services with various vendors.
• Develop and maintain credibility and effective working relations with both customer management and IT personnel.
• Demonstrate an understanding of business problems, as well as IT strategies, issues, and priorities.
• Apply technology to improving business processes within strategic system goals.

Applications Analyst II – Pharmacy

Solutions Engineer

• Oversees a team of analysts responsible for the coordination, training and implementation of the clinical applications.
• The primary responsibility is to ensure that applications are well supported and that implementations are properly executed to meet organizational standards.
• The Applications Analyst IV must possess a thorough understanding of medical terminology, technology and clinical workflows.
• As an assigned application and department liaison, this position will be responsible for coordinating training, troubleshooting, configuration and error resolution for new and existing applications.
• This position involves working closely with end-users and ITS management staff to manage the development and implementation of new features and functions.
• The Applications Analyst IV partners with their assigned departments and helps to identify user requirements, utilize available technologies, develop detailed interface and conversion specifications and recommend software solution options.
• For large scale projects, this role will take the lead in the development and implementation of new features or enhancements.
• Projects are likely to include; identifying user requirements, developing detailed interfaces, planning for system conversions and recommending software solution options.
• For other projects, this role will provide oversight and project management to a team of analysts.

Team Lead, Integration Engineering

Platform Engineer

• Own and execute the planning of storage platform migrations to resilient cross-site deployments and cloud platforms
• Develop and implement automation processes to improve infrastructure recovery and operational efficiency
• Apply disaster recovery best practices for data protection and recovery
• Plan, test, schedule, and coordinate system upgrades and platform modifications
• Ensure compliance with change management, security, and operational standards
• Analyze, monitor, and maintain enterprise systems for optimal performance
• Identify incident trends and root causes, driving issues from identification through resolution
• Perform metrics analysis and capacity planning to maintain performance
• Research, analyze, design, document, test, and implement solutions supporting the end-user workspace environment
• Collaborate with multiple infrastructure teams to maintain and optimize technologies

Platform Engineer 2 – Storage

• Identifies patients who are potentially eligible to enroll in the study by reviewing their information in patient lists and in the electronic medical record.
• Conducts telephone interviews and performs procedures to screen and enroll study participants including obtaining informed consent.
• Schedules patients for study visits.
• Utilizes study specific data collection and data documentation tools, completes clinical research assessments, and makes study related observations.
• Collects and organize patient data.
• Review data for quality and completeness based on established protocols.
• Assists with the coordination of the collection, processing, organization, and storage of biological specimens in the systems.
• May be responsible for IRB and regulatory submissions and maintenance of regulatory files.
• Maintains ongoing communications with the research coordinator and PIs for data collection needs.
• Adheres to Good Clinical Procedures (GCP) and Standard Operating Procedures (SOP) as well as to protocol requirements to ensure validity of clinical research patient data.
• Other duties including send out mailings, taking inventory/ordering supplies, monitoring and setting up equipment.

Clinical Research Coordinator I, General Internal Medicine – Gout Study, Part-time

• Align technology solutions with business strategies
• Identify opportunities to apply technologies to business processes
• Inform and advise customers on information system technologies
• Function as technical liaison and broker of services with vendors
• Develop and maintain credibility with customer management and IT personnel
• Understand business problems and IT strategies

Applications Analyst II

• Overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams
• Ensuring compliance with hospital policies, regulatory requirements, and payer guidelines
• Supporting efficient and effective utilization review and denial management processes
• Leadership, staff training, and quality improvement initiatives
• Collaborating with interdisciplinary teams to reduce payer denials
• Approving timekeeping and schedule changes in Kronos
• Providing comprehensive training for new staff and ongoing educational support for existing team members
• Conducting performance improvement audits