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 levels of time off

403(b) Retirement Savings plan

Pension

Tuition and license/certification Reim

Cell phone plan discounts

Discounted T-pass rates

Job summary

Boston Children's Hospital is seeking a Revenue Integrity Liaison to evaluate clinical charges and codes, ensuring accurate billing and compliance with payer requirements. You will work with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues, with Epic experience highly preferred.

The role features a hybrid schedule (M–F) and a comprehensive benefits package, including health, vision, dental, retirement plans,

Qualifications

• One year of hospital or physician patient accounting experience.
• Thorough working knowledge of third-party payer requirements.
• Experience with Epic or similar clinical/healthcare systems.

Responsibilities

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

Skills

Billing knowledge

Payer requirements

Problem solving

Team collaboration

Education

High school diploma or GED

Associate's degree preferred

Tools

Epic

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

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

Pay

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.