Boston Children's Hospital
Senior Revenue Integrity Specialist (remote)
This job is now closed
Job Description
- Req#: 82683BR
Employer Industry: Healthcare
Why consider this job opportunity:
- Salary up to $118,550 annually
- Opportunity for career advancement and growth within the organization
- Fully remote work environment with flexible scheduling
- Comprehensive benefits package including health, dental, and vision insurance
- Generous paid time off and support for child care and student loans
- Chance to make a lasting difference in the lives of children and families
What to Expect (Job Responsibilities):
- Evaluate and enhance charging and coding structures to ensure compliance and accurate revenue capture
- Identify and address process gaps leading to missed or delayed charges for timely billing
- Collaborate on managing and auditing the Charge Description Master (CDM) for revenue cycle integrity
- Analyze billing errors and denials to determine root causes and implement corrective actions
- Mentor junior specialists and provide guidance on billing, coding, and reconciliation practices
What is Required (Qualifications):
- High school diploma required; bachelor’s degree preferred
- Minimum of five years of experience in a hospital or healthcare billing environment
- Strong analytical and financial skills, including database management and report generation
- Comprehensive understanding of healthcare revenue cycle operations
- Relevant professional certifications such as CPC, COC, AHIMA CCS, RN, RT, MT, RPH, or PMP are highly desirable
How to Stand Out (Preferred Qualifications):
- Proven ability to review and interpret managed care contracts and billing guidelines
- Knowledge of federal and state rules governing coding and billing practices
- Strong problem-solving skills with the ability to resolve complex issues across teams
- Ability to influence outcomes without direct supervisory authority
- Experience developing quality audit programs and associated reports
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
10600 Boston Children's Hospital formerly known as Children's Hospital Boston until 2012 is a nationally ranked, freestanding acute care children's hospital located in Boston, Massachusetts, adjacent both to its teaching affiliate, Harvard Medical Scho...
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