It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. And that starts with our employees.
As part of the revenue integrity department, the Revenue Integrity Analyst is responsible for performing and reviewing regular audits to support the maintenance and enhancement of Tufts Medical Center, Physician Organization and Floating Hospital for Children’s (Tufts) charge capture and overall billing functions. In addition, this position will explore potential charge capture workflow enhancements, consistent charge structure and rate setting according to industry standards and payer contracts, and denial trends. This role may also be involved in the design and implementation of proper data extraction and analytics processes across departments and service lines.
This position maximizes charge efficiency through: (1) Monitoring revenue cycle processes and staff functions; (2) Supporting Tufts revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates; (3) Assisting in the design and implementation of charge capture/billing workflow improvements.
Under general direction, the Revenue Integrity Analyst identifies revenue and reimbursement opportunities while maintaining compliance with state, local and federal regulations.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
AGE SPECIFIC COMPETENCIES:
Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. This includes:
JOB KNOWLEDGE AND SKILLS:
All your information will be kept confidential according to EEO guidelines.
AMERICANS WITH DISABILITIES STATEMENT:
Must be able to perform all essential functions of this position with reasonable accommodation if disabled.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.
Please note that effective October 1, 2021, as a condition of employment at Tufts Medical Center, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption.
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