Revenue Integrity Analyst

General Information

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Work Location: Los Angeles, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday

• Friday, 7:00am

• 4:00pm

Posted Date

03/11/2024

Salary Range: $76200 - 158800 Annually

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

14533

Primary Duties and Responsibilities

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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: $71,500 - $154,900/annually

Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.

Job Qualifications

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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

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.