Senior Billing Analyst, OR Ancillary

UChicago Medicine • Chicago, IL

6d • $76,860 - $89,670 • Remote

About The Position

The Senior Billing Analyst leads perioperative and procedural billing operations to ensure accurate, compliant, and timely revenue capture. Reporting to the Assistant Director of Business Operations, this role partners with Revenue Cycle, Supply Chain, Nursing, and Perioperative Leadership to reconcile supply and facility charges, assign CPT/ICD/HCPCS codes, audit documentation, and oversee departmental work queues. The role supports revenue integrity, improves charge capture workflows, and mentors staff to meet regulatory and operational standards.

Requirements

• AAPC certification (CPC, CCS, or higher) or AHIMA certification required; certification must be obtained within 12 months of hire (CPC, RHIT, RHIA, or combination).
• High school diploma; bachelor's degree preferred.
• 5–7 years of hospital billing operations experience.
• 3 years of hospital coding experience.
• Strong knowledge of Medicare, Medicaid, and managed care billing regulations.
• Working expertise in CPT and ICD coding systems.
• Experience with CCI edits review.
• Completion of medical terminology coursework.
• Experience with healthcare systems such as EPIC, IDX, OACIS, or Last Word.
• Advanced Excel and PC-based reporting skills.
• Strong analytical, organizational, and communication skills.

Nice To Haves

• Operating room billing experience.
• Experience in a complex academic medical center environment.

Responsibilities

• Review system-generated charge reports to identify, correct, and complete inaccurate or missing data; assign CPT, ICD, and HCPCS codes and enter charges as needed to meet a three-day billing target.
• Ensure supply and facility charges are accurately posted within three days of the date of service or discharge date, if applicable.
• Collaborate with Revenue Cycle to reconcile and maintain departmental work queues, ensuring timely and compliant billing.
• Develop, educate, and orient staff on departmental policies, procedures, and billing regulations, including LMRPs, APCs, diagnosis coding, and documentation requirements.
• Support the design and implementation of workflow improvements to enhance charge capture accuracy and reduce revenue leakage.
• Communicate updates regarding coding and billing policies and procedures; interpret regulatory changes and provide guidance to staff.
• Partner with Supply Chain to establish new product records and confirm accurate account and billing code assignments.
• Assist in investigating and resolving charge-related disputes.
• Perform additional duties related to revenue capture, reimbursement, and departmental operations as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED