Senior Coding/Revenue Integrity Analyst

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 practices across the enterprise. The position functions as a critical analytical liaison across both hospital and professional billing environments, performing comprehensive reimbursement analysis and developing detailed resolution plans to mitigate institutional revenue leakage. This role drives cross-functional collaboration and fosters constructive relationships between clinical revenue-producing departments and core revenue cycle teams to proactively resolve workflow deficiencies. Position : Senior Coding / Revenue Integrity Analyst Department : Revenue Integrity Location: Remote with the occasional need to visit onsite ESSENTIAL RESPONSIBILITIES / DUTIES: - Revenue Cycle Initiative Leadership: 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. - Project Work Plan Management: 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. - Epic System Workflow Validation: 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. - Root Cause Data Analysis: 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. - Departmental Sourcing Support: 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. - Cross-Functional Stakeholder Collaboration: 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. - Subject Matter Expertise & Escalation Support: 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. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS REQUIRED EDUCATION AND EXPERIENCE: - 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. PREFERRED EDUCATION AND EXPERIENCE: - 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. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: - Certified Professional Coder (CPC), Certified Coding Specialist – Physicia