Revenue Integrity Analyst II
Mass General Brigham
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
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Salary
💰 $63,648 - $90,750 per year
About the role
- Provide support for assigned service lines and in collaboration with team, performs reviews related to Charge Description Master (CDM) integrity.
- Evaluates current charging, 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 MGB 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 Digital Health eCare (DHeC), Revenue Cycle Operations staff, Compliance, Budget Office, MGB 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.
Requirements
- 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
- Three to five years of experience in a hospital setting or within the healthcare industry preferred
- Financial analysis application skills, including database development and report generation.
- Advanced Excel and Access skills required.
Benefits
- Health insurance
- Career advancement opportunities
- Recognition programs designed to celebrate your contributions and support your professional growth
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
charge capturecodingbilling processesfinancial analysisdatabase developmentreport generationroot cause analysisworkflow analysisrevenue cycle managementEpic
Soft Skills
collaborationcommunicationleadershippresentation skillsproblem-solvinganalytical skillsproject managementeducationguidanceteamwork
Certifications
COCCPCAHIMA-CCS