Revenue Integrity Analyst II, Remote
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 62400 - 90750
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
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
-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.
-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.
-Attend seminars/webinars on payor regulations and annual code set changes.
-Professional development to include training and support of coding certifications.
-Provide support to junior analysts by assisting with day-to-day questions and assisting with training.
Qualifications
Education
Bachelors degree in finance or science or equivalent combination of education and experience preferred
Role accept experience in lieu of a degree
Yes
Licenses and Credentials
Applicable clinical or professional certifications/licenses such as COC CPC or AHIMA-CCS are highly desirable
Experience
Three to five years of experience in a hospital setting or within the healthcare industry preferred
Knowledge Skills and Abilities
- 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
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$62400.00 - $90750.40/AnnualGrade
6EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
Key Skills
- ASC 606
- Hotel Experience
- Hospitality Experience
- GAAP
- Accounting
- Revenue Management
- Pricing
- Analysis Skills
- Salesforce
- SOX
- ERP Systems
- NetSuite
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
