Revenue Cycle Analyst – Neurosurgery

UCSF•San Francisco, CA

3d•Onsite

About The Position

This position serves as the primary liaison between the Department of Neurological Surgery and the off-site professional coding team, facilitating timely resolution of coding and charge capture issues. The incumbent provides regular operational and performance updates, including analysis of charge capture performance, work queue metrics, and identification of system-wide Epic (Apex) issues. The analyst works independently to oversee charge capture activities, including coding audits, identification and resolution of missing inpatient charges, patient volume reconciliation, and physician education. By proactively monitoring work queues daily, the analyst helps minimize charge lag, improve revenue cycle performance, and ensure departmental benchmarks are met. The role involves analyzing billing denials to identify root causes and providing recommendations for process improvements. It also includes oversight of denial work queues, authorization denials, cash collections, financial counseling, encounter form workflows, charge entry, charge reconciliation, reporting, and provider credentialing. The analyst supports Neurosurgery programs across multiple locations and serves as a key resource for physicians, staff, patients, and leadership on billing and revenue cycle matters. A critical responsibility is developing and analyzing reports to identify trends impacting billing and reimbursement, investigating these trends, performing root cause analysis, and collaborating with providers to resolve issues. The analyst also works with various departments to ensure efficient professional fee billing services and maintains expert knowledge of billing regulations, coding, and revenue cycle best practices.

Requirements

Experience in revenue cycle management.
Proficiency in analyzing billing denials and identifying trends.
Knowledge of Epic (Apex) system issues.
Experience with charge capture activities, including coding audits and reconciliation.
Understanding of physician Evaluation and Management (E/M) and procedural coding.
Ability to develop and analyze operational reports.
Experience with root cause analysis.
Familiarity with denial work queues and authorization processes.
Knowledge of cash collections and deposits.
Experience with financial counseling and self-pay cost estimates.
Understanding of encounter form workflows and charge entry.
Experience with provider credentialing activities.
Knowledge of professional billing, coding, charge capture, and reimbursement.
Expert knowledge of professional fee billing regulations, payer requirements, diagnosis and procedure coding, electronic billing systems, revenue cycle best practices, and applicable federal, state, local, and institutional policies.

Nice To Haves

Experience working with off-site professional coding teams.
Experience in the Department of Neurological Surgery or a similar specialty.
Experience collaborating with Information Technology and Revenue Cycle teams.
Experience working with Faculty Practice Organization (FPO) or Faculty Practice Revenue Management Office (FPRMO).

Responsibilities

Serve as the primary liaison between the Department of Neurological Surgery and the off-site professional coding team.
Facilitate timely resolution of coding and charge capture issues.
Provide regular operational and performance updates to FPO Associate Director, Revenue Manager, and Department CFO.
Analyze charge capture performance, work queue metrics, and identify system-wide Epic (Apex) issues.
Oversee charge capture activities, including coding audits, identification and resolution of missing inpatient charges, patient volume reconciliation, and physician education.
Proactively monitor work queues daily to minimize charge lag and improve revenue cycle performance.
Analyze billing denials and denial trends to identify root causes, deficiencies, documentation gaps, and system issues.
Provide recommendations and feedback for process improvements, revenue optimization, and compliance.
Oversee denial work queues, authorization-related denials, cash collections and deposits, financial counseling, and preparation of self-pay cost estimates.
Manage encounter form workflows, charge entry, charge reconciliation, reporting and analysis, and provider credentialing activities.
Provide day-to-day operational oversight of revenue cycle functions supporting Neurosurgery programs at Parnassus and affiliated outreach clinics.
Serve as a key resource for physicians, clinical staff, patients, and administrative leadership on professional billing, coding, charge capture, reimbursement, and revenue cycle-related questions.
Develop and analyze operational reports to identify trends related to delayed operative reports, unsigned documentation, incomplete consultation encounters, and other documentation deficiencies.
Investigate identified trends, perform root cause analysis, and collaborate directly with providers to resolve issues.
Escalate recurring concerns to departmental leadership, including the Administrative Director.
Establish and maintain effective working relationships with FPRMO Coding, Managed Care Contracting, and MGBS.
Maintain expert knowledge of professional fee billing regulations, payer requirements, diagnosis and procedure coding, electronic billing systems, revenue cycle best practices, and applicable policies.