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. The role partners with physicians, Patient Accounts, and clinical departments to identify and correct billing errors, missing charges, and documentation issues. Hospital experience with surgical products or supply chain is 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.
Requirements & Qualifications
Qualifications
- High school diploma or GED required.
- Associate's degree preferred.
- One year of hospital or physician patient accounting experience required.
- Thorough working knowledge of third-party payer requirements required.
- Hospital experience working with surgical products or supply chain is highly preferred.
- Epic experience is preferred.
Schedule
- Hybrid schedule, Monday through Friday.
Benefits & Perks
Boston Children's Hospital offers a comprehensive benefits package that includes:
- Flexible schedules
- Affordable health, vision, and dental insurance
- Child care and student loan subsidies
- Generous time off
- 403(b) retirement savings plan
- Pension
- Tuition reimbursement
- License and certification reimbursement
- Employee discounts
- Discounted commuter benefits at certain locations
Location
Boston, Massachusetts, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago