Revenue Integrity Service Line Analyst - Revenue Integrity

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region.

Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and qua ternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.

UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit (Use the "Apply for this Job" box below)..

Position Summary:

The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. Under the direct supervision of Revenue Integrity Operations Manager, the Revenue Integrity Service line Analyst will be responsible for data collection, report production, and comprehensive financial analysis of information in support of Revenue Integrity’s internal operations as well as revenue cycle functions at the organizational level.

The employee will monitor charge capture activities, system interfaces between various charge capture systems, assist in charge automation initiatives, and will collaborate with Revenue cycle business partners regarding programming enhancements, system upgrades. Retrieves data for standard and ad hoc reporting as needed or requested. Analysis and reports will include trending, benchmarking, functional flows, and performance measures that identify deficiencies and improvements in the revenue cycle.

Incumbent is the primary liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines.

Required Qualifications:

• Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations
• Skill to effectively work with all levels of health system personnel including directors and physicians
• Skill in converting master files into reports for departmental use and in ad hoc technical report writing, complex analysis and data conversion into different formats.
• Knowledge of provider and governmental processes
• Knowledge of ICD-10 and CPT codes
• Knowledge of HIPAA
• Extensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursement
• Experience working with hospital billing systems and knowledge of third party billing requirements as well as knowledge of institutional and professional charging practice and charge automation functions which is typically obtained through 5 years’ experience. In addition must have knowledge of automated patient account function and be familiar with Electronic Health Records interfaces, extrapolation of data and charge processing.
• Excellent written and verbal communication skills in English
• Excellent computer skills and experience with a thorough working knowledge of Microsoft Access and Excel
• CPC-H, CPC or equivalent coding certification

Preferred Qualifications:

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

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As…