Revenue Integrity Analyst II, Remote jobs in United States
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Mass General Brigham · 1 month ago

Revenue Integrity Analyst II, Remote

Mass General Brigham is a not-for-profit organization that supports patient care, research, teaching, and community service. The Revenue Integrity Analyst II plays a crucial role in enhancing revenue results by reviewing clinical and financial processes, ensuring compliance, and collaborating with various departments on revenue management initiatives.

Health CareHome Health CareMedical
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H1B Sponsor Likelynote

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

Qualification

Charge Description Master (CDM)Epic system proficiencyFinancial analysis skillsCOC certificationCPC certificationAHIMA-CCS certificationAdvanced Excel skillsAdvanced Access skillsCustomer service skillsResearch skillsRoot cause analysisPresentation skillsOrganizational skillsProject management skillsStrategic thinking

Required

Bachelor's degree in finance or science or equivalent combination of education and experience
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
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

Preferred

Applicable clinical or professional certifications/licenses such as COC, CPC or AHIMA-CCS

Benefits

Comprehensive benefits
Career advancement opportunities
Differentials
Premiums
Bonuses
Recognition programs

Company

Mass General Brigham

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Mass General Brigham specializes in providing medical treatments and health diagnostics services.

H1B Sponsorship

Mass General Brigham has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (77)
2024 (61)
2023 (93)
2022 (70)
2021 (80)
2020 (29)

Funding

Current Stage
Late Stage

Leadership Team

E
Erin Flanigan
SVP, Human Resources, Community, Specialty Hospital Division
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O’Neil A. Britton
Chief Integration Officer, Executive Vice President
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Company data provided by crunchbase