Revenue Cycle Analyst 2 - Revenue Integrity - FT Days

Job Title

Revenue Integrity Analyst

Job Description

The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The incumbent will be responsible for data collection, report production and financial analysis of information in support of Revenue Integrity internal operations as well as revenue cycle functions at the organizational level. The employee will monitor system interfaces between various charge capture systems, assist in charge automation initiatives. Retrieves 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. Incumbent serves as a liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines.

Qualifications

Required Qualifications:

• 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
• 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 which is typically obtained through a minimum of 2 years' experience. In addition must have knowledge of automated patient account function and be familiar with Electronic Health Records interfaces, extrapolation of data and charge processing.
• Excellent written and verbal communication skills in English
• Demonstrated knowledge of MS Word and Excel applications

Preferred Qualifications:

• Knowledge of Tableau
• Knowledge of Structure Query Language (SQL)
• CPC-H or CPC coding certification
• Bachelor's Degree in Finance or related field

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:

Closing Statement:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at View email address on click.appcast.io or at View phone number on click.appcast.io, Monday - Friday from 8:30 a.m. - 5:00 p.m.