Revenue Analyst II

Mass General Brigham•Somerville, MA

1d•$63,648 - $92,570•Remote

About The Position

The Revenue Integrity Analyst II reports to the Revenue Integrity Manager and supports a high-profile group focused on improving revenue results. The role takes a global view of clinical and financial processes and their interdependencies, from patient care through final bill generation. It combines service and project management responsibilities and requires strong interpersonal, communication, analytical, and organizational skills, along with the ability to meet deadlines and influence the work of others without directly managing them. The position supports assigned service lines, evaluates charge capture and billing processes, analyzes revenue-cycle data, and works with clinical, operational, compliance, and finance partners to improve revenue integrity.

Requirements

Bachelor's degree in Finance required; experience cannot substitute for a degree.
Two to three years of Revenue or Finance experience required.
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 presenting to and interacting with senior hospital management and physician leaders.
Excellent organizational and project management skills.
Ability to manage time effectively, maintain attention to detail, and follow through.
Well-developed research skills.
Strategic thinking and business acumen.
Advanced root cause analysis skills.
Ability to work M-F during Eastern business hours.
A quiet, secure, stable, HIPAA-compliant workstation for remote work.

Nice To Haves

Master's degree in Finance preferred.

Responsibilities

Support assigned service lines and collaborate with the team on reviews of Charge Description Master (CDM) integrity.
Evaluate clinical department charging and coding structures and processes to ensure appropriate revenue capture and reporting and compliance with government and third-party payor requirements.
Assess the accuracy and configuration of charging workflows in EPIC, including documentation, dictionaries, preference lists, and interface or third-party charging systems.
Provide enterprise guidance, communication, and education on correct charge capture, coding, and billing processes.
Lead and participate in moderately complex projects related to revenue cycle initiatives.
Collaborate with Partners eCare, Revenue Cycle Operations, Compliance, the Budget Office, PHS Coding, Internal Audit, and other Revenue and Finance departments on revenue management initiatives.
Analyze Epic work and error queue data, perform root cause analysis, and execute work plans to correct identified deficiencies.
Prepare and present findings in standard presentations for committees, including leadership.
Analyze changes to coding and billing rules and regulations using appropriate references, internet sources, seminars, and publications.
Execute work plans to adapt systems and processes to accommodate changes in coding and billing rules and regulations.