Senior Revenue Integrity Analyst
Senior Revenue Integrity Analyst
Posted on :
10-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
10-04-2025
Job Description
EEO:
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.
About Us
As a notforprofit organization Partners HealthCare is committed to supporting patient care research teaching and service to the community by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital Partners HealthCare 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 healthrelated entities. Several of our hospitals are teaching affiliates of Harvard Medical School and our system is a national leader in biomedical research.
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.
QUALIFICATIONS
Five years experience in a hospital setting or within the healthcare industry strongly preferred.
Bachelors degree required Masters preferred.
Applicable clinical or professional certifications/licenses such as CPC AHIMACCS RN RT MT RPH PMP are highly desirable.
Epic healthcare system experience preferred.
SKILLS/ABILITIES/COMPETENCIES REQUIRED
Ability to research analyze and interpret healthcare policies billing guidelines and state and federal regulations.
Full Microsoft Suite applications ability with strong MS Excel skills required and MS Access skills preferred.
Ability to document clinical workflows impacting revenue cycle.
Strong written communication formal presentation skills and excellent customer service skills.
High degree of comfort 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.
Motivated individual who can mentor and inspire in a team environment.
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.
About Us
As a notforprofit organization Partners HealthCare is committed to supporting patient care research teaching and service to the community by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital Partners HealthCare 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 healthrelated entities. Several of our hospitals are teaching affiliates of Harvard Medical School and our system is a national leader in biomedical research.
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 SUMMARY / OVERVIEW STATEMENT
Reporting to the Revenue Integrity Manager the Senior Revenue Integrity Analyst plays a leadership 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 superb analytic and organizational skills and the ability to meet deadlines while influencing but not directly managing the work of others.
PRINCIPAL DUTIES AND RESPONSIBILITIES
With responsibility for all cost centers within service lines and acting with a high degree of autonomy 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 payer requirements to ensure consistency across all entities.
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.
Assesses the accuracy of all charging vehicles including Epic and legacy 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 entities.
Leads and participates in complex projects related to revenue cycle initiatives. Provides oversight for projects in which support analysts are involved.
Mentors and coaches assigned analysts and assists in oversight and review of analysts work.
Collaborates with Revenue Operations Compliance Budget Offices Patient Accounts Health Information Services Internal Audit and other Revenue and Finance departments on revenue management initiatives across all entities.
Develops maintains and implements Revenue Integrity and CDM Management policies procedures and training materials.
Work and analyze billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
Reporting to the Revenue Integrity Manager the Senior Revenue Integrity Analyst plays a leadership 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 superb analytic and organizational skills and the ability to meet deadlines while influencing but not directly managing the work of others.
PRINCIPAL DUTIES AND RESPONSIBILITIES
With responsibility for all cost centers within service lines and acting with a high degree of autonomy 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 payer requirements to ensure consistency across all entities.
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.
Assesses the accuracy of all charging vehicles including Epic and legacy 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 entities.
Leads and participates in complex projects related to revenue cycle initiatives. Provides oversight for projects in which support analysts are involved.
Mentors and coaches assigned analysts and assists in oversight and review of analysts work.
Collaborates with Revenue Operations Compliance Budget Offices Patient Accounts Health Information Services Internal Audit and other Revenue and Finance departments on revenue management initiatives across all entities.
Develops maintains and implements Revenue Integrity and CDM Management policies procedures and training materials.
Work and analyze billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
Five years experience in a hospital setting or within the healthcare industry strongly preferred.
Bachelors degree required Masters preferred.
Applicable clinical or professional certifications/licenses such as CPC AHIMACCS RN RT MT RPH PMP are highly desirable.
Epic healthcare system experience preferred.
SKILLS/ABILITIES/COMPETENCIES REQUIRED
Ability to research analyze and interpret healthcare policies billing guidelines and state and federal regulations.
Full Microsoft Suite applications ability with strong MS Excel skills required and MS Access skills preferred.
Ability to document clinical workflows impacting revenue cycle.
Strong written communication formal presentation skills and excellent customer service skills.
High degree of comfort 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.
Motivated individual who can mentor and inspire in a team environment.
Required Experience:
Senior IC
Employment Type
Full-Time
Key Skills
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