Revenue Integrity Liaison

Boston Children's Hospital; Boston (MA); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

flexible schedules

affordable health

vision and dental insurance

child care and student loan subsidies

generous time off

403(b) Retirement Savings plan

Pension

Tuition and License Certification Reim

cell phone plan discounts

discounted T-passes

Job summary

Boston Children’s Hospital is seeking a Revenue Integrity Liaison responsible for evaluating clinical charges and codes to ensure accurate billing and compliance with government and third-party payer requirements. You will collaborate with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues.

The role emphasizes ensuring accurate clinical documentation and charge capture, with experience in Epic systems

Qualifications

• High school diploma or GED required; Associate's degree preferred.
• One year of hospital or physician patient accounting experience.
• Experience with third-party payer requirements preferred.

Responsibilities

• Review clinical charges and codes for accuracy and payer compliance.
• Collaborate with physicians to ensure clinic notes are finalized in clinical systems.
• Identify and correct billing errors and missing charges; analyze denials and root causes.
• Assist Patient Accounts in reviewing billing edits and payer rules.

Skills

Attention to detail

Billing and payer knowledge

Communication with clinicians

Problem solving

Education

High school diploma or GED

Associate's degree preferred

Tools

Epic

PowerChart

Job description

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

Compensation

The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

Benefits

• flexible schedules
• affordable health
• vision and dental insurance
• child care and student loan subsidies
• generous levels of time off
• 403(b) Retirement Savings plan
• Pension
• Tuition and certain License and Certification Reimbursement
• cell phone plan discounts
• discounted rates on T-passes