Job Description
POSITION SUMMARY: Under the general direction of the Manager of Revenue Integrity, the Senior Coding and Revenue Integrity Analyst exists to ensure compliant charge capture and revenue tracking for both Boston Medical Center (BMC) and the professional Boston University Medical Group (BUMG) revenue. Operating under limited supervision and working independently, this role monitors regulatory changes, payer requirements, and revenue integrity policies to support compliant coding and billing practi…
8:00 AM
Pull the daily performance dashboard. Key metrics load automatically: cash collected, claims submitted, days in AR, first-pass res…
8:30 AM
Build a new denial trend report requested by the VP of Revenue Cycle. She wants to see MA vs. commercial denial rates by departmen…
10:00 AM
Present the prior auth approval rate analysis to the PA team. You've identified that one specific payer is denying initial PA requ…
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