Charge Master Analyst - Revenue Integrity - FT Days

UCI Health Job Opportunity

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health Orange, UCI Health Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary: The incumbent is responsible for the management of the Charge Description Master for all inpatient and outpatient technical charges including Room & Board Care, Pharmacy, Durable Medical Equipment, SOS 22 ambulatory care practices and ancillary services. Additional functions include charge capture development, rate analysis and appropriate alignment of hospital charges to physician charges. Incumbent is the primary liaison in providing expertise for all institutional charge application and regulatory charge guidelines for the hospital. Works independently and collaboratively, as needed, with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decision regarding the Chargemaster.

What It Takes to be Successful

Required Qualifications: Skill to effectively work with all levels of health system personnel including directors and physicians Skill in ad hoc technical report writing, complex analyses and data conversion into different formats Skill converting master files in to reports for departmental use Must possess the skill, knowledge and ability essential to the successful performance of assigned duties Must have a clear understanding of third-party regulatory requirements including Medicare, Medicaid, Managed Care and Commercial. Must demonstrate customer service skills appropriate to the job Knowledge of the healthcare industry with an in-depth knowledge of coding, billing and revenue management policies Knowledge of split claim billing Knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges Knowledge of coding software tools to maintain current charging and billing guidelines Excellent written and verbal communication skills in English Demonstrated advanced computer knowledge and experience with Microsoft Office Ability to maintain a work pace appropriate to the workload Ability to establish and maintain effective working relationships across the Health System Ability to analyze situations, define problems, research and formulate conclusions and make sound recommendations 3 years experience with CDM management 3 years experience in an academic or large healthcare system 3 years experience as a Certified Professional Coder (CPC) 3 years chargemaster management experience Preferred Qualifications: Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations Knowledge of University and medical center organizations, policies, procedures and forms Epic PB Resolute certification