Revenue Integrity Liaison

Boston Children’s Hospital; Boston (MA); Hybride; USD 70 000 - 90 000; Plein temps

Avantages offerts par ce poste

Hybrid schedule

Résumé du poste

Boston Childrens Hospital is seeking a Revenue Integrity Liaison to evaluate clinical charges and codes to ensure accurate billing, revenue capture, and compliance with payer requirements.

The role collaborates with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues. Epic experience and familiarity with surgical products or supply chain are highly preferred.

Hybrid work arrangement with a Monday–Friday schedule.

Qualifications

• High school diploma or GED; associate's degree preferred.
• One year hospital or physician patient accounting experience.
• Experience with Epic and PowerChart systems.
• Knowledge of third-party payer requirements.

Responsabilités

• Review clinical charges and codes to ensure accurate billing and payer compliance.
• Collaborate with physicians to ensure clinic notes are finalized in clinical systems.
• Review provider information and charge documents for accuracy.
• Analyze billing errors and denials to identify root causes and plan corrections.
• Monitor charge reconciliation to identify missing charges and coding errors.
• Initiate corrections for billing errors and missing documentation.
• Provide guidance to clinical departments on charge capture and billing processes.

Formation

High school diploma or GED

Associate's degree preferred

Outils

Epic

PowerChart

Description du poste

Position summary

The Revenue Integrity Liaison evaluates clinical charges and codes to ensure accurate billing, proper revenue capture, and compliance with government and third-party payer requirements. Works with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues. Hospital experience working with surgical products or supply chain is highly preferred, along with Epic experience.

Key responsibilities

• Review clinical charges and codes to ensure accurate billing and compliance with payer requirements.
• Work with physicians to ensure clinic notes are finalized and accurate in clinical systems, including PowerChart.
• Review provider information, encounter forms, and other charge documents for accuracy.
• Analyze billing errors and denials to identify root causes and develop plans to correct issues.
• Work with Patient Accounts to review billing edits and help clinical departments understand correct charge entry and payer billing and coding rules.
• Monitor charge reconciliation reports to identify missing charges, documentation, signatures, and coding errors.
• Initiate corrections for billing errors, missing charges, and documentation issues.
• Provide guidance and information to clinical departments on charge capture, coding, and billing processes.

Minimum qualifications

Education:

High school diploma or GED required. Associate's degree preferred.

Experience:

One year of hospital or physician patient accounting experience, including a thorough working knowledge of third-party payer requirements, required.

Schedule:

Hybrid. M-F

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