Revenue Integrity Analyst

$71,500 - $154,900/Yr

Ucla Health Systems - Los Angeles, CA

Full-time

Los Angeles, CA

Ambulatory Health Care Services

About the position

The Revenue Integrity Analyst at UCLA Health Systems plays a crucial role in enhancing the operational and financial effectiveness of the health system. This position involves analyzing complex financial data, identifying trends in revenue cycle operations, and ensuring compliance with regulations. The analyst will work closely with various departments to improve revenue cycle workflows and train staff on relevant systems and 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 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 and reimbursement issues
• Analyze hospital billing claims within the EHR and claim scrubber system
• Resolve claim errors, edits, and other holds
• Collaborate 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 healthcare revenue cycle practices, procedures, and concepts
• Strong analytical and problem-solving abilities
• Excellent communication, interpersonal, and collaboration skills
• Proficiency in Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes