Revenue Integrity Analyst

Description

Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.

You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input for all components of revenue cycle management. You will :

Analyze complex financial data

Identify trends in revenue cycle operations

Summarize data and present reports to leadership

Serve as liaison with departments to thoroughly define reporting and information requirements

Evaluate revenue cycle workflows to identify areas for improvement

Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems

Train patient financial services units on revenue cycle systems, processes and procedures

Maintain compliance with government regulations, reimbursement issues, etc.

Analyze hospital billing claims within the EHR and claim scrubber system

Resolve claim errors, edits, and other holds

Works with clinical and ancillary operational departments on correct coding, billing, and charging principles

Salary Range : $76,200 - $158,800 / annually

Qualifications

We're seeking a highly analytical, detail-driven professional with :

Bachelor's degree in business, finance or related field, highly desired

CPC-H, CPC, or CCS coding certification, highly desired

Five or more years of experience with hospital billing systems and third-party billing requirements, preferred

Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations

Proficiency with Microsoft Excel

Knowledge of Tableau Reporting dashboards

Understanding of Medicare / Medi-Cal claims processing guidelines

Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system

In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle

Strong analytical and problem-solving abilities

Excellent communication, interpersonal, and collaboration skills

Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes