Revenue Cycle Analyst 2 - Revenue Integrity - FT Days

University of California, Irvine•Irvine, CA

1d•Onsite

About The Position

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.
Knowledge of institutional and professional charging practice and charge automation functions (typically obtained through a minimum of 2 years’ experience).
Knowledge of automated patient account function.
Familiarity 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.
Must be able to provide proof of work authorization.

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, and financial analysis to support Revenue Integrity operations and organizational revenue cycle functions.
Monitoring system interfaces between various charge capture systems.
Assisting in charge automation initiatives.
Retrieving data for standard and ad hoc reporting.
Performing analysis and reports including trending, benchmarking, functional flows, and performance measures to identify revenue cycle deficiencies and improvements.
Serving as a liaison for all revenue generation of services rendered, ensuring consistency with Revenue Integrity charging guidelines.