Job Category: Finance
Location: Boston, MA
Reporting to the Revenue Integrity Manager, the Revenue Integrity Analyst I 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.
- Bachelor's degree (or equivalent work experience).
- At least one year minimum recent experience in healthcare finance, revenue cycle management, CDM maintenance or related field. Experience in an Academic setting preferred.
- Must have revenue code, CPT and HCPC coding knowledge.
- General understanding of multiple reimbursement systems including IPPS, OPPS, and Fee Schedule.
- Excellent interpersonal and communication skills to positively interact with a variety of hospital personnel, including administrative and management staff.
- Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Outlook, Excel and Access.
- Possess effective oral and written skills.
- Ability to interpret and implement regulatory standards.
- Working knowledge of multiple healthcare applications, including but not limited to SDK / Eclipsys, GE, SSI, 3M and CDM maintenance software.
- Knowledge of accurate sources for updating all applicable code sets (CPT/HCPCS, ICD-9, etc.) inclusive of associated edits such as NCCI.
- Possess effective time management skills to permit handling of large workload.
- Dual Hospital and Professional Coding Certification(s) (CPC, CPC-H, CCS, CCSP) preferred.
Job ID: 1200044