Research Charge Review Analyst II

$69,900 - $104,800/Yr

Ucsf Medical Center - San Francisco, CA

Full-time - Entry Level

San Francisco, CA

Hospitals

About the position

The Research Charge Review Analyst II position at UCSF involves applying skills as a revenue cycle analyst to manage and evaluate research-related charges. The role focuses on ensuring appropriate billing practices, utilizing various systems for charge review, and improving efficiency in the revenue cycle process.

Responsibilities

• Examine and evaluate research-related charges for appropriate routing and consistent billing according to guidelines.
• Utilize knowledge of various systems including EPIC and government websites for detailed follow-up.
• Interpret coverage analysis information and maintain an audit trail for further review.
• Research missing charges by reviewing Coverage Analysis, APEX, and MediAssets.
• Review billing grids to identify and correct missing charges.
• Adhere to payer rules and regulations including Medicare, Medi-Cal, and commercial insurance.
• Initiate charge corrections as necessary.
• Notify management of potential procedural changes to improve efficiency.

Requirements

• Bachelor's degree in a related area and one to two years of experience or equivalent education and experience.
• Detail-oriented with strong organizational skills and the ability to manage time efficiently.
• Proficiency in database, spreadsheet, and presentation software, particularly MS Excel and Outlook.
• Demonstrated analytical and problem-solving skills to evaluate workflows and systems.
• Strong interpersonal skills to work effectively in a team environment.

Nice-to-haves

• Working knowledge of healthcare revenue cycle practices and procedures.
• Knowledge of billing, collections, charge capture, and third-party reimbursements.
• Strong communication skills to interpret and convey complex clinical finance information clearly.
• Familiarity with CPT / ICD-9 or ICD-10 coding systems.
• Prior experience with the EPIC (Apex) system, especially in insurance follow-up modules.
• Certified Procedural Coder (CPC) certification.

Benefits

• Comprehensive health insurance
• Dental and vision insurance
• Retirement savings plan (401k)
• Paid holidays and vacation time
• Flexible work schedule options
• Professional development opportunities