UCLA Health

Revenue Integrity Analyst

UCLA Health$78K — $163K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business, finance or related field strongly desired
  • CPC-H, CPC, or CCS coding certification highly desired
  • Five or more years of experience with hospital billing systems preferred
  • Experience in revenue integrity operations or clinical charge capture
  • Proficiency with Microsoft Excel and knowledge of Tableau Reporting dashboards
  • In-depth understanding of Medicare/Medi-Cal claims processing guidelines
  • Strong analytical, problem-solving, communication and interpersonal skills

Responsibilities

  • Analyze complex financial data related to revenue cycle
  • Identify trends in revenue cycle operations and summarize findings
  • Serve as a liaison to define reporting and information requirements
  • Evaluate revenue cycle workflows for improvement opportunities
  • Oversee charge integrity and reconciliation processes
  • Train patient financial services units on revenue cycle systems
  • Maintain compliance with government regulations and reimbursement issues

Benefits

  • Flexible hybrid work schedule
  • Opportunity for professional growth within a world-class health organization
  • Access to advanced revenue cycle management tools
  • Engagement with leadership and cross-departmental collaboration
  • Continuous training and support for career advancement
Full Job Description
General Information

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Work Location: Los Angeles, CA, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday - Friday 8:00 AM - 5:00 PM

Posted Date

11/06/2024

Salary Range: $78500 - 163600 Annually

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

20373

Primary Duties and Responsibilities

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You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input for all components of revenue cycle management. You will:
  • 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
  • Works with clinical and ancillary operational departments on correct coding, billing, and charging principles


Salary Range: $78,500 - $163,600 /annually

Job Qualifications

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We're seeking a highly analytical, detail-driven professional with:

  • 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


As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

Current/former UC employees are subject to a personnel file review.

About UCLA Health

UCLA Health is a world-renowned academic medical center located in Los Angeles, California. It comprises four hospitals, including Ronald Reagan UCLA Medical Center, and more than 200 primary and specialty care clinics. UCLA Health is affiliated with the David Geffen School of Medicine at UCLA and is consistently ranked among the top hospitals in the United States. The health system employs over 20,000 people and serves as a major center for patient care, medical education, and research.
Learn more about UCLA Health
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