Revenue Integrity Analyst II
Revenue Integrity Analyst II
Posted on :
09-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
09-04-2025
Job Description
About Us
Were focused on a peoplefirst culture for our systems patients and our professional family. Thats why we provide our employees with more ways to achieve their potential. Partners HealthCare 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 developmentand we recognize success at every step.
Our employees use the Partners HealthCare 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.
General Overview:
Reporting to the Revenue Integrity Manager the Revenue Integrity Analyst II plays an important role in a highprofile 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 welldeveloped analytic and organizational skills and the ability to meet deadlines while influencing but not directly managing the work of others.
Responsibilities:
Provide support for assigned cost centers within 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 of all charging vehicles including clinical systems and dictionaries encounter forms and other charge documents.
Provides guidance communication and education on correct charge capture coding and billing processes to multiple clinical departments and facilities.
Leads and participates in moderately complex projects related to revenue cycle initiatives.
Collaborates with Compliance Budget Office Patient Accounts Health Information Services Internal Audit and other Revenue and Finance departments on revenue management initiatives.
Analyzes billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
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.
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 of all charging vehicles including clinical systems and dictionaries encounter forms and other charge documents.
Provides guidance communication and education on correct charge capture coding and billing processes to multiple clinical departments and facilities.
Leads and participates in moderately complex projects related to revenue cycle initiatives.
Collaborates with Compliance Budget Office Patient Accounts Health Information Services Internal Audit and other Revenue and Finance departments on revenue management initiatives.
Analyzes billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
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.
Bachelors degree in finance or science or equivalent combination of education and experience.
Applicable clinical or professional certifications/licenses such as CPCH or AHIMACCS are highly desirable.
Skills Abilities Competencies:
Ability to review analyze and interpret managed care contracts billing guidelines and state and federal regulations.
Financial analysis application skills including database development and report generation.
Advanced Excel and Access skills required.
Welldeveloped 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.
Strong time management attention to detail and follow through.
Welldeveloped research skills.
Partners HealthCare is an Equal Opportunity Employer & by embracing diverse skills perspectives and ideas we choose to lead. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. Financial analysis application skills including database development and report generation.
Advanced Excel and Access skills required.
Welldeveloped 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.
Strong time management attention to detail and follow through.
Welldeveloped research skills.
Required Experience:
IC
Employment Type
Full-Time
Key Skills
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