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UCI Health · 3 days ago

Revenue Integrity Service Line Analyst - Revenue Integrity - FT Days

Irvine, CA

Full-time

Onsite

Senior Level

5+ years exp

UCI Health is the clinical enterprise of the University of California, Irvine, and is seeking a Revenue Integrity Service Line Analyst. This role involves data collection, report production, and financial analysis to support revenue integrity operations and revenue cycle functions, while collaborating with various stakeholders to enhance charge capture processes.

Health CareHospitalMedical

No H1B

Responsibilities

Responsible for data collection, report production, and comprehensive financial analysis of information in support of Revenue Integrity's internal operations as well as revenue cycle functions at the organizational level

Monitor charge capture activities, system interfaces between various charge capture systems, assist in charge automation initiatives, and collaborate with Revenue cycle business partners regarding programming enhancements and system upgrades

Retrieve data for standard and ad hoc reporting as needed or requested

Analysis and reports will include trending, benchmarking, functional flows, and performance measures that identify deficiencies and improvements in the revenue cycle

Act as the primary liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines

Qualification

ICD-10CPT codesHospital billing systemsCharge automation functionsMicrosoft AccessMicrosoft ExcelTableauSQLData analysisReport writingHIPAAProvider processesCommunication skills

Required

Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations

Skill to effectively work with all levels of health system personnel including directors and physicians

Skill in converting master files into reports for departmental use and in ad hoc technical report writing, complex analysis and data conversion into different formats

Knowledge of provider and governmental processes

Knowledge of ICD-10 and CPT codes

Knowledge of HIPAA

Extensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursement

Experience working with hospital billing systems and knowledge of third party billing requirements as well as knowledge of institutional and professional charging practice and charge automation functions which is typically obtained through 5 years' experience

In addition must have knowledge of automated patient account function and be familiar with Electronic Health Records interfaces, extrapolation of data and charge processing

Excellent written and verbal communication skills in English

Excellent computer skills and experience with a thorough working knowledge of Microsoft Access and Excel

CPC-H, CPC or equivalent coding certification