Revenue Integrity Service Line Analyst - Revenue Integrity - F/T Days

$73,900 - $133,700/Yr

University of California - Irvine, CA

Full-time - Mid Level

Irvine, CA

Educational Services

About the position

The Revenue Integrity Service Line Analyst at the University of California, Irvine Health is responsible for ensuring charge capture integrity for hospital and professional services. This role involves data collection, report production, and financial analysis to support internal operations and revenue cycle functions. The analyst will monitor charge capture activities, assist in charge automation initiatives, and collaborate with revenue cycle partners to enhance programming and system upgrades. The position requires effective communication and analytical skills to identify deficiencies and recommend improvements in the revenue cycle.

Responsibilities

• Writes, reviews, and recommends changes to system policies and procedures for appropriate utilization.
• Writes analytical reports and descriptive summaries, maintaining information formats that support charge practice initiatives.
• Performs extensive analysis including benchmarking and trend analysis for revenue integrity functions, providing recommendations for improvement.
• Monitors daily charge processing and interfaces, resolving issues as they occur, and acts as a liaison for revenue cycle work processes.
• Develops and participates in project plans for systems upgrades and programming enhancements.

Requirements

• Skill to effectively work with all levels of health system personnel including directors and physicians.
• Excellent written and verbal communication skills in English.
• Experience with hospital billing systems and knowledge of third-party billing requirements, typically obtained through 5 years' experience.
• Knowledge of automated patient account functions and familiarity with Electronic Health Records interfaces.
• Skill in converting master files into reports and technical report writing.
• Excellent computer skills with a thorough working knowledge of Microsoft Access and Excel.
• Extensive knowledge of split fee billing and hospital outpatient charging.
• CPC-H, CPC or equivalent coding certification.
• Knowledge of ICD-10 and CPT codes.
• Skill to read and interpret governmental and commercial payor regulations.
• Knowledge of provider and governmental processes and HIPAA.

Nice-to-haves

• Knowledge of Structure Query Language (SQL).
• Knowledge of Tableau.
• Bachelor's Degree in Business, Finance or related field.

Benefits

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to discounts and perks