Note: The job is a remote job and is open to candidates in USA. Boston Medical Center (BMC) is a healthcare organization seeking a Senior Coding and Revenue Integrity Analyst to support compliant charge capture and revenue tracking across hospital and professional billing environments. The role leads revenue cycle initiatives, validates Epic workflows, analyzes revenue data, audits charging and billing processes, and collaborates with clinical and revenue cycle stakeholders to resolve deficiencies and reduce revenue leakage.
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
Skills
- 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
- 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
Benefits
- Remote with the occasional need to visit onsite
- Medical, dental, vision, and pharmacy benefits
- Discretionary annual bonuses
- Merit increases
- Flexible Spending Accounts
- 403(b) savings matches
- Paid time off
- Career advancement opportunities
- Resources to support employee and family well-being
Company Overview
Company H1B Sponsorship