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.

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.

Health insurance
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Revenue Integrity Analyst II

Key skills