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

Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve developing dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input for all components of revenue cycle management. In this role, you will analyze complex financial data and identify trends in revenue cycle operations. You will summarize data and present reports to leadership, serving as a liaison with departments to thoroughly define reporting and information requirements. Evaluating revenue cycle workflows to identify areas for improvement will be a key responsibility, as well as overseeing charge integrity, reconciliation, and charge linkages from ancillary charging systems. You will also train patient financial services units on revenue cycle systems, processes, and procedures, while maintaining compliance with government regulations and reimbursement issues. Additionally, you will analyze hospital billing claims within the EHR and claim scrubber system, resolving claim errors, edits, and other holds, and working with clinical and ancillary operational departments on correct coding, billing, and charging principles.

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