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About Ropes &amp; Gray Ropes &amp; Gray is a preeminent, global law firm. The firm has been ranked in the top-three on The American Lawyer's prestigious "A-List" for seven years and is ranked #1 on Law.com International's "A-List" in the U.K.-rankings that honor the "Best of the Best" firms. The firm has approximately 2,500 lawyers and professionals serving clients in major centers of business, finance, technology, and government in Boston, Chicago, Dublin, Hong Kong, London, Los Angeles, New York, San Francisco, Seoul, Shanghai, Silicon Valley, Singapore, Tokyo and Washington, D.C. The firm has consistently been recognized for its leading practices in many areas, including asset management, private equity, M&amp;A, finance, real estate, tax, antitrust, life sciences, health care, intellectual property, litigation &amp; enforcement, privacy &amp; cybersecurity, and business restructuring. Ropes &amp; Gray is an equal opportunity employer. Overview The Analyst will be a key member of the Firm's Revenue team, positioned to grow as the complexity of Outside Counsel Guidelines increases, along with the increased use of Alternative Fee Agreements and electronic billing, and internal requirements. The role will require financial business partnering, problem solving and analytical acumen, in addition to hands-on reporting and analysis. Over time and with management support, a successful analyst will own the end-to-end cycle of data management, reporting, analysis and presentation for our revenue compliance. The Analyst will need to utilize a variety of systems and databases to ensure that Outside Counsel Guidelines, engagement letters, alternative fee arrangements, billing instructions, and client management notes and instructions are consistent and universally known. The role will have exposure to the senior finance management, certain business and functional leaders. The analyst will contribute to the financial functions and is positioned to grow as we expand our revenue compliance capabilities. Responsibilities 1.) Provide revenue-reporting assistance to Firm Management, Partners, and departmental staff. <ul><li>Utilize firm reporting tools to create custom reports as needed.</li></ul>2.) The Analyst will work with Department and Firm Management in the review and analysis of Associate and Partner adherence to the Firm's time entry requirements. <ul><li>Communications with Firm Management, Partners, Associates and Associate Development Managers.</li><li>Review of potential non-compliance timekeepers and determine if additional actions need to be taken.</li><li>Maintain all records, communications, and decisions.</li></ul>3.) The Analyst will work Department Management in the review, summarization and analysis of clients with Outside Counsel Guidelines, including reporting statistics and analyzing for trends. <ul><li>Review and dissemination of guidelines to appropriate users.</li><li>Reporting trends and identifying clients/matters where improvements to application of guidelines could increase realization and profitability.</li><li>Identifying non-compliance with clients Outside Counsel Guidelines.</li></ul>4.) Collaborate with the Financial Planning and Analysis team, Analyst is responsible for the review of unbilled write-offs exceeding partner threshold to ensure that reasoning is complete, metrics are accurate, and appropriate practice group approvals are obtained. Works with Department Manager in the administration and reporting of Billing Incentives. <ul><li>Maintains and reports on incentive period statistics including daily charts and monthly analyses to finance leadership.</li><li>Assists with the review of and input of requested adjustments.</li></ul>5.) Actively participates in firm and departmental projects. Qualifications <ul><li>Bachelor's degree in accounting, finance or business</li><li>Strong analytical and critical thinking skills</li><li>A minimum of five years experience in a professional services environment using time and billing software such as Elite, 3E, or Aderant</li><li>Must be a team player with strong interpersonal skills</li><li>Superior customer service and a demonstrated ability to work in challenging and dynamic environment</li><li>Experience creating, modifying and working with database oriented reports using software such as Microstrategy, Tableau</li><li>Demonstrated proficiency with MS Excel, including advanced features such as pivot tables, graphs, formulas, macros</li><li>Self directed with a strong work ethic; capable of working independently with limited supervision</li><li>Ability to work outside of established business hours and adjust personal schedule to meet deadlines is required</li></ul>Compensation and Total Rewards Package Ropes &amp; Gray is proud to offer a comprehensive Total Rewards package to our business support team members. The firm also offers comprehensive health and well-being benefits, personal and professional development, career growth opportunities and a collegial and supportive culture. The anticipated pay range for this role is $69,000- $103,000, which represents our good faith and reasonable estimate of the starting salary range at the time of posting. In addition, this role is eligible for a discretionary bonus based on performance. The actual offered rate for this position will be determined based on job-related, non-discriminatory factors, including qualifications and experience, geographic location, education, external market data and consideration of internal equity. Working Conditions This position requires hybrid on-site presence as an essential function of the role. Consistent and predictable on-site presence is required for ongoing business continuity, professional development and effective collaboration with colleagues and management.

Revenue Compliance Analyst

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for a talented Billing Compliance Auditor &amp; Educator to join our Compliance team. Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, &amp; Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more! Role: The Billing Compliance Auditor &amp; Educator is responsible for the development and execution of the Billing Compliance program of Harbor Health. This includes compliance auditing, coding and billing auditing, clinical billing and coding education, as well as compliance program planning and execution. The Billing Compliance Auditor &amp; Educator performs compliance audits, coding and billing audits and serves as a subject matter expert to Harbor Health on issues related to professional coding and billing and general corporate compliance practices. Position will be hybrid and will require some travel to all other health center sites. Responsibilities: <ul><li>Coordinates independent reviews and assessments of the organization's professional coding and billing transactions, processes, and internal controls for coding completeness and accuracy.</li><li>Develops and maintains an effective Billing Compliance Program for the Community Health Center clinics of Harbor Health.</li><li>Evaluates the effectiveness of Harbor Health's current billing and coding practices, validates compliance with state and federal regulations and internal policy and procedure mandates; and recommends process, procedure, and policy improvements to mitigate against identified risks.</li><li>Identifies potential coding and billing errors, researching appropriate guidelines to support recommended improvements, and communicating these improvements to the Director and Revenue Cycle Management on a timely basis. </li><li>Provides expert compliance advice and education to coding personnel, clinical staff and physicians, along with department and practice management.</li><li>Performs a variety of audits such as: HCPCS, CPT coding, DRG coding, and medical record reviews using scientific methods, statistical processes and proven healthcare audit methodology with a focus on governmental payers, including Medicare and Medicaid.</li><li>Coordinates with clinical operations, health information management and revenue cycle departments to ensure accounts audited reflect proper documentation, charge capture, coding, billing and payment.</li><li>In a timely manner, clearly communicates audit findings with providers, the department managers and identify areas of educational opportunities or required corrective actions based on audit results, exhibits clear concise report writing and presentation skills. </li><li>Conducts follow up education and develops corrective action plans to address audit findings and/or identified risks.</li><li>Responsible for performing risk assessments to identify compliance and non-compliance concerns.</li><li>Coordinates and executes pre and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in accordance with standard state, federal, and internal reimbursement policies, principles, and mandates.</li><li>Conducts education of new providers on compliance, billing and documentation guidelines, fraud and abuse statutes, and the audit process.</li><li>Responds to billing compliance queries by clinical and non-clinical providers and/or staff while maintaining appropriate degree of confidentiality.</li><li>Maintains up-to-date knowledge of industry coding, billing and documentation guidelines and healthcare compliance regulations to ensure Harbor Health clinic wide consistency and compliance with governmental and other regulatory guidelines.</li><li>Maintains an open dialogue and good working relationship with external auditors, Revenue Cycle, IT, and Compliance Management; and clinic/department staff and their leadership in order to advance Harbor Health's compliance, audit and revenue objectives and goals.</li></ul>Requirements: <ul><li>Associate's degree in related field required; Bachelor's degree preferred </li><li>Certified Professional Coder (CPC) required or Certified Risk Adjustment Coder (CRC) preferred</li><li>Minimum of 5 years of experience in healthcare billing compliance auditing and education</li><li>Advanced user of Microsoft Office 365 applications including Word, Excel, Outlook and Teams</li><li>Project Management experience or training preferred</li><li>Excellent verbal and written communication skills.</li><li>Able to work compassionately with providers and administrative staff within the practices</li><li>Able to work independently and collaboratively</li><li>Must be able to travel between all Harbor sites in a timely manner </li></ul>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Monday -Friday Full Time - Hybrid

2 Jobs in Boston, MA, USA