Revenue Cycle Analyst - Neurosurgery

Under general supervision, This position serves as the primary liaison between the Department of Neurological Surgery and the off-site professional coding team, facilitating timely resolution of coding and charge capture issues. While the position reports directly to the Senior Finance Manager, the incumbent also provides regular operational and performance updates to the assigned Faculty Practice Organization (FPO) Associate Director, Revenue Manager, and the Department Chief Financial Officer (CFO). These reports include analysis of charge capture performance, work queue metrics, and identification of system-wide Epic (Apex) issues requiring cross-functional collaboration with Information Technology and Revenue Cycle teams.

The Work Queue (WQ) and Charge Capture Analyst works independently under the general supervision of the Senior Finance Manager. The incumbent is responsible for overseeing charge capture activities across the Department of Neurological Surgery, including coding audits, identification and resolution of missing inpatient charges, patient volume reconciliation, physician Evaluation and Management (E/M) education, and procedural coding education. By proactively monitoring work queues on a daily basis, the analyst helps minimize charge lag, improve revenue cycle performance, and ensure departmental benchmarks are consistently met.

This position serves as the primary liaison between the Department of Neurological Surgery and the off-site professional coding team, facilitating timely resolution of coding and charge capture issues. While the position reports directly to the Senior Finance Manager, the incumbent also provides regular operational and performance updates to the assigned Faculty Practice Organization (FPO) Associate Director, Revenue Manager, and the Department Chief Financial Officer (CFO). These reports include analysis of charge capture performance, work queue metrics, and identification of system-wide Epic (Apex) issues requiring cross-functional collaboration with Information Technology and Revenue Cycle teams.

The WQ and Charge Capture Analyst analyzes billing denials and denial trends to identify root causes, billing process deficiencies, documentation gaps, and system issues affecting reimbursement. The incumbent provides recommendations and feedback to the Senior Finance Manager to support process improvements, revenue optimization, and compliance with regulatory and payer requirements.

The position is also responsible for oversight of denial work queues, authorization-related denials, cash collections and deposits, financial counseling, preparation of self-pay cost estimates, encounter form workflows, charge entry, charge reconciliation, reporting and analysis, and provider credentialing activities. The incumbent provides day-to-day operational oversight of these revenue cycle functions supporting all Neurosurgery programs at the Parnassus campus and affiliated outreach clinics, including San Jose, Monterey, Salinas, Napa, Novato, Marin, San Mateo, Fremont, and UCSF Benioff Children's Hospital Oakland (BCH Oakland). The analyst serves as a key resource for physicians, clinical staff, patients, and administrative leadership on professional billing, coding, charge capture, reimbursement, and revenue cycle-related questions.

A critical responsibility of this position is the development and analysis of operational reports to identify trends related to delayed operative reports, unsigned documentation, incomplete consultation encounters, and other documentation deficiencies that impact billing timeliness and reimbursement. The incumbent investigates identified trends, performs root cause analysis, collaborates directly with providers to resolve issues, and escalates recurring concerns to departmental leadership, including the Administrative Director, as appropriate.

Working collaboratively with the Billing Supervisor and Senior Finance Manager, the incumbent establishes and maintains effective working relationships with Faculty Practice Revenue Management Office (FPRMO) Coding, Managed Care Contracting, and Managed Group Billing Services (MGBS) to ensure the efficient delivery of professional fee billing services for the UCSF Department of Neurological Surgery. The analyst maintains expert knowledge of professional fee billing regulations, payer requirements, diagnosis and procedure coding, electronic billing systems, revenue cycle best practices, and all applicable federal, state, local, and institutional policies governing professional billing and reimbursement.