Senior Revenue Integrity Analyst at Boston Medical Center
Posted in General Business 15 days ago.
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Location: Boston, Massachusetts
Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. BMC provides a full range of pediatric and adult care services, from primary to family medicine to advanced specialty care.
BMC is also committed to our employees, who are a very important piece to who we are. We pride ourselves in providing equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, gender, age, religion, national origin, ancestry, disability, veteran status, genetic information, sexual orientation or any characteristic protected under applicable law. BMC will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.
Under the direction of the Manager of Audits & Denials, the Revenue Integrity Analyst will provide analytical support to resolve various high exposure operating and finance issues across the BMC enterprise. Lead projects and assessments to resolve problems identified by the Manager, Director and VP. Creates a positive, constructive, and supportive relationship between the hospital departments and personnel needed to resolve issues.
ESSENTIAL RESPONSIBILITIES / DUTIES:
With Manager oversight, develop work plans and lead project timelines to complete assigned projects in the most timely and efficient manner possible Perform various assessment, analytical research and support including, but not limited to: root-cause, analyses, cost/benefit analyses, and financial projection Lead workgroups initiated from problem assessment to identify obstacles that jeopardize the success of the group and effectively communicate issues upward Synthesize status and results of assigned projects and maintain critical communication with team members throughout the project. Must effectively communicate issues and results via multiple media including in-person meetings, workgroups, verbal communication, email and presentations. Collaborates effectively with diverse groups of people and various service departments throughout the organization. Ensure projects are implemented with proper oversight and perform subsequent reviews/audits after implementation to ensure project goals are achieved Meet regularly with manager to provide status of efforts Maintain professional skills and knowledge through attendance at in-service programs, conferences, workshops and other educational programs and review of current literature. Prepare activity metrics as required. Utilize Hospital's Core Values as the basis for decision making and to facilitate hospital mission. Follow established hospital infection control and safety procedures. Perform other duties as needed and required.
Bachelor’s degree in Business/Healthcare related field required, Master’s degree desired
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Epic Certification Strongly Desired
Five + years minimum recent experience in healthcare auditing, coding, finance, revenue cycle management, patient accounting and/or physician billing, preferably in an Academic Medical Center setting.
KNOWLEDGE AND SKILLS:
Root-cause analysis Highly organized and detail oriented Interviewing/listening skills required to enable talking with individuals and groups about current processes and issues to ask the right questions to yield essential information that will be used to evaluate processes and determine potential solutions. Excellent management skills Excellent time-management skills Superior analytical skills to critically evaluate information gathered from multiple sources and synthesize into actionable information Extensive technical skills to quickly learn hospital information systems as well as MSOffice suite Excellent writing, interpersonal and organizational skills