Senior Coding and Revenue Integrity Analyst

BMC Software

1d•$78,000 - $113,000•Remote

About The Position

Under the general direction of the Manager of Revenue Integrity, the Senior Coding and Revenue Integrity Analyst exists to ensure compliant charge capture and revenue tracking for both Boston Medical Center (BMC) and the professional Boston University Medical Group (BUMG) revenue. Operating under limited supervision and working independently, this role monitors regulatory changes, payer requirements, and revenue integrity policies to support compliant coding and billing practices across the enterprise. The position functions as a critical analytical liaison across both hospital and professional billing environments, performing comprehensive reimbursement analysis and developing detailed resolution plans to mitigate institutional revenue leakage. This role drives cross-functional collaboration and fosters constructive relationships between clinical revenue-producing departments and core revenue cycle teams to proactively resolve workflow deficiencies.

Requirements

Associate’s degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Medical Auditor (CPMA).
Advanced proficiency in process analysis, troubleshooting, and database investigation to structurally isolate billing deficiencies and engineer actionable solutions.
Strong working knowledge of materials management, purchasing, contracting, and vendor management structures as they intersect with hospital charging systems, Epic, and nThrive applications.
Advanced analytical skills to evaluate complex utilization datasets from multiple disparate sources, develop summary metrics, and translate findings into current, accurate procurement and billing recommendations.
Superior written and verbal communication skills, including the objective ability to present complex fiscal trends, regulatory interpretations, and systemic recommendations to senior administrative and physician leadership.
Strong organizational and time management skills to manage deadlines, prioritize personal workloads, and autonomously drive multiple concurrent project plans.
Strong active listening and interviewing skills to gather relevant workflow data from clinical personnel and establish collaborative working relationships across diverse medical and administrative teams.
Intermediate to advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Forms, to execute automated operational reporting and project tracking.

Nice To Haves

A Bachelor’s degree in Business, Healthcare Administration, or a closely related field, combined with five (5) or more years of progressive revenue integrity experience within a matrixed health system.

Responsibilities

Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.
Develops and executes detailed project work plans, timelines, and resolution frameworks for complex, multi-departmental revenue initiatives with limited managerial oversight to ensure timely delivery of operational goals.
Monitors, audits, and validates active charging workflows within Epic and intersecting third-party charging interfaces to ensure technical baseline accuracy and appropriate system build configuration.
Analyzes Epic work queue data and revenue performance metrics to execute structural root cause analysis, identify localized workflow deficiencies, and present formalized interpretations and actionable findings to leadership.
Manages charging, coding, and billing processes within clinical departments by auditing revenue-producing activities to verify compliance with evolving government regulations and third-party payer contract requirements.
Partners with departmental stakeholders, finance leaders, and revenue cycle teams to assess active clinical workflows, troubleshoot system issues, and deliver targeted training and analytical feedback.
Serves as the primary functional subject matter expert and institutional liaison for charge capture, supporting complex escalation issues and guiding cross-functional revenue cycle partners.