UCSF Health · 1 month ago
Revenue Cycle Billing Analyst
Emeryville, CA
Full-time
Onsite
Entry, Mid Level
$93K/yr - $140K/yr
1+ years expUCSF Health is a leading healthcare provider committed to innovative patient care and advanced research. The Revenue Cycle Billing Analyst will support revenue operations related to coding, auditing, and training, while managing procedural code sets and providing education to clinical staff on compliance with coding guidelines.
BiotechnologyEducationHealth CareHospitalMedical
No H1B
Responsibilities
Provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas
Applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting
Gains expertise to act as a specialist for designated divisions
Manages a diverse range of 1000 – 3500 procedural code set combinations, plus Evaluation and Management services coding
Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding
Provides analysis to support department revenue cycle management and improve work queue design and management
Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines
Performs an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education
Communicates billing and coding regulations to all levels of faculty, management, and staff
Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement
Qualification
Required
Bachelor's degree in a related area or four years of relevant experience
One or more years of revenue cycle professional fee coding experience or equivalent experience/training
Must have experience working with professional fee coding, CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements
Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management
Working knowledge of reporting instruments, metrics, and/or dashboard design
Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner
Proficiency in common database, spreadsheet, and presentation software
Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to summarize and present reports and presentations
Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems
Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas
Knowledge of medical terminology, anatomy, and physiology
The ability to work in Emeryville, California
Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management
Preferred
Prior working knowledge of the EPIC (Apex) system
Experience working directly with physicians, AHPs, and staff
Academic medical center experience
Advanced Coding Certification(s)
Company
UCSF Health
UCSF Health offers healthcare services in the areas of cancer, heart disorders, neurological disorders, organ transplants, and more.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Elizabeth Engel
Vice President and Chief of Staff to the CEO
Suresh Gunasekaran
President & Chief Executive Officer
Recent News
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-05
Medical Xpress - latest medical and health news stories
2025-11-20
News-Medical.Net
2025-11-20
Company data provided by crunchbase