Revenue Integrity Specialist- Remote

Boston Children's Hospital

Boston, MA(remote)

Apply

JOB DETAILS

SKILLS

Academic Advice, Analysis Skills, Best Practices, Billing, Charge Capture, Clinical Practices/Protocols, Clinical Training, Communication Skills, Corrective Action, Data Analysis, Financial Operations, Financial Regulations, Financial Risk, Financial Trend Analysis, Government, Government Regulations, Healthcare, High School Diploma, Hospital, Maintain Compliance, Managed Care, Medicaid, Medical Billing, Medical Coding, Medicare, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Project Planning, Reimbursement, Reporting Dashboards, Revenue Analysis, Revenue Planning, Revenue/Sales Reporting, Root Cause Analysis, Team Player, Time Management, Training/Teaching, Trend Analysis, Writing Skills

LOCATION

Boston, MA

POSTED

8 days ago

At Boston Children’s Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included.

Position Summary
The Revenue Integrity Specialist supports Boston Children’s Hospital’s surgical and clinical practices by helping ensure accurate billing, appropriate charge capture, and strong compliance across the revenue cycle. This role focuses on identifying revenue opportunities, reducing denials, and minimizing financial and regulatory risk. The specialist works closely with clinical departments and the Revenue Integrity team to interpret billing rules, analyze data, and implement process improvements that strengthen revenue performance and compliance.

Key Responsibilities

Analyze Epic revenue cycle and usage reports to identify billing errors, trends, and revenue opportunities
Monitor and resolve work queue issues, correcting charge errors and ensuring timely resolution
Review clinical department billing, coding, and charging workflows to ensure accurate revenue capture and compliance with payer and government regulations
Analyze denial data to identify root causes and implement corrective action plans
Provide education, guidance, and training to clinical departments on charge capture, coding, and billing best practices
Support interpretation and implementation of billing and coding rule changes (government and payer updates)
Develop and execute work plans to improve revenue cycle performance and reduce avoidable denials
Partner with Revenue Integrity team members to use reporting tools and dashboards to monitor compliance and financial risk
Assist in maintaining consistent charge capture practices and supporting ongoing compliance efforts across departments

Minimum Qualifications

Strong understanding of healthcare revenue cycle operations
Epic experience
Coding Certificate
Ability to analyze billing, coding, and reimbursement data
Experience working with managed care contracts and payer rules
Knowledge of Medicare, Medicaid, and third-party billing guidelines
Ability to identify root causes of billing errors and implement solutions
Strong analytical, problem-solving, and critical thinking skills
Ability to work collaboratively with clinical, financial, and operational teams
Excellent written and verbal communication skills

Education

High School Diploma or GED required
Bachelor’s Degree preferred

Experience

Minimum of 1 year of experience in a hospital or healthcare billing environment required
Experience with revenue cycle, charge capture, denial management, or coding preferred

Schedule
Full time- remote

Boston Children’s Hospital Benefits
Boston Children’s Hospital offers competitive compensation and unmatched benefits including 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 T-passes. Experience the benefits of passion and teamwork.

Revenue Integrity Specialist- Remote

Boston Children's Hospital

Boston, MA(remote)

About the Company

Boston Children's Hospital

Similar Job Searches