Revenue Cycle Specialist | Revenue Cycle

UF Health • Gainesville, FL

3h • Remote

About The Position

Remote flexibility meets meaningful healthcare impact in this Transplant Charge Review Analyst opportunity. This role involves reviewing and auditing all inpatient and outpatient pre-transplant charges to ensure accuracy, compliance, and proper classification. The specialist will verify that both transplant and non-transplant related charges are processed and recorded appropriately in alignment with corporate policies and governmental regulations. This position also supports the accuracy of the annual Medicare Cost Report by ensuring charge integrity and compliance with reporting requirements. The role identifies discrepancies, performs detailed analysis, and collaborates with clinical, billing, and finance teams to resolve issues and improve processes. It plays a critical role in maintaining financial accuracy, regulatory compliance, and operational efficiency within transplant-related revenue cycle activities.

Requirements

• Minimum of two (2) years of experience in healthcare revenue cycle, charge capture, coding, or transplant operations
• Active nursing license or coding certification (e.g., CCS, RHIT, RHIA, CPC, COC, CIC, or CCS-P)
• Proficiency in revenue integrity, billing, and audit tools; experience with EHR systems (Epic preferred)
• Working knowledge of transplant billing and compliance requirements
• Demonstrated ability in process improvement and problem-solving within complex healthcare environments
• Experience with clinical chart review and data abstraction

Responsibilities

• Reviews charge work queues for transplant and donor patient hospital and professional charges across all organ programs
• Identifies, tracks, and resolves missing or misrouted charges in collaboration with Coding, Patient Financial Services (PFS), and clinical departments
• Assists with preparation of audit documentation for Medicare Cost Reports and other regulatory submissions, as needed
• Participates in cross-functional meetings and supports Charge Capture Review Team initiatives
• Collaborates with IT analysts and Epic teams to optimize charge capture tools and workflows within Epic
• Partners with Transplant Financial Coordinators and Transplant Nurse Coordinators to verify transplant phase, as needed

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed