Revenue Integrity Analyst

$76,200 - $158,800/Yr

University of California - Los Angeles, CA

Full-time

Los Angeles, CA

Educational Services

About the position

The Revenue Integrity Analyst at UCLA Health plays a crucial role in enhancing the operational and financial effectiveness of a complex health system. This position involves leveraging extensive knowledge of revenue cycle management to address critical revenue issues, analyze financial data, and ensure compliance with regulations. The analyst will work closely with various departments to improve workflows and train staff on revenue cycle processes.

Responsibilities

• Analyze complex financial data
• Identify trends in revenue cycle operations
• Summarize data and present reports to leadership
• Serve as liaison with departments to thoroughly define reporting and information requirements
• Evaluate revenue cycle workflows to identify areas for improvement
• Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems
• Train patient financial services units on revenue cycle systems, processes and procedures
• Maintain compliance with government regulations, reimbursement issues, etc.
• Analyze hospital billing claims within the EHR and claim scrubber system
• Resolve claim errors, edits, and other holds
• Work with clinical and ancillary operational departments on correct coding, billing, and charging principles

Requirements

• Bachelor's degree in business, finance or related field, highly desired
• CPC-H, CPC, or CCS coding certification, highly desired
• Five or more years of experience with hospital billing systems and third-party billing requirements, preferred
• Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations
• Proficiency with Microsoft Excel
• Knowledge of Tableau Reporting dashboards
• Understanding of Medicare/Medi-Cal claims processing guidelines
• Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system
• In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle
• Strong analytical and problem-solving abilities
• Excellent communication, interpersonal, and collaboration skills
• Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes