Revenue Cycle Analyst 2 - Revenue Integrity - FT Days

University of California, Irvine • Irvine, CA

12h

About The Position

Position Summary:
The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The incumbent will be responsible for data collection, report production and financial analysis of information in support of Revenue Integrity internal operations as well as revenue cycle functions at the organizational level. The employee will monitor system interfaces between various charge capture systems, assist in charge automation initiatives. Retrieves 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. Incumbent serves as a liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines.

Requirements

• 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
• Knowledge of provider and governmental processes
• Knowledge of ICD-10 and CPT codes
• Knowledge of HIPAA
• 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 a minimum of 2 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
• Demonstrated knowledge of MS Word and Excel applications

Nice To Haves

• Knowledge of Tableau
• Knowledge of Structure Query Language (SQL)
• CPC-H or CPC coding certification
• Bachelor's Degree in Finance or related field

Responsibilities

• Data collection
• Report production
• Financial analysis
• Monitor system interfaces between various charge capture systems
• Assist in charge automation initiatives
• Retrieves data for standard and ad hoc reporting
• Analysis and reports will include trending, benchmarking, functional flows, and performance measures that identify deficiencies and improvements in the revenue cycle
• Serves as a liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level