Revenue Cycle HC Analyst 3 - Revenue Integrity - FT Days

University of California System • Anaheim, CA

88d

About The Position

The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The Revenue Integrity Service Line Analyst will be 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.

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
• 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
• 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

Nice To Haves

• Knowledge of Tableau
• Knowledge of Structure Query Language (SQL)
• Bachelor's Degree in Business, Finance or related field

Responsibilities

• Monitor charge capture activities and system interfaces between various charge capture systems
• Assist in charge automation initiatives
• 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 consistent with Revenue Integrity charging guidelines

Benefits

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to a number of discounts and perks

What This Job Offers

• Industry: Educational Services
• Education Level: Bachelor's degree