Revenue Cycle Billing Analyst

Revenue Cycle Billing Analyst

FPO - Revenue Management

Full Time

87080

The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting.

Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1000 - 3500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines.

The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement.

Please note, we are not sponsoring any Visa's at this time. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors, including your work experience and internal equity within this position classification  positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The position entry point is $93,000. To learn more about the benefits of working at UCSF, including total compensation, please visit: (Use the "Apply for this Job" box below)..

Faculty Practice Management Operations supports the Revenue Cycle functions for charge capture, coding, charge edits, authorizations and RFI resolution supporting over 14 clinical departments and 50 clinical programs. Charge generation for the unit is roughly $2.8 billion dollars supporting both Faculty Practice Operations as well as the Adult, Children's, and Cancer Services. Impact of revenue cycle work for this unit is felt by Faculty Practice Operations (FPO), as well as UCSF Health Inpatient Facilities.

• Bachelor's degree in a related area or four years of relevant experience.
• One or more years of revenue cycle professional fee coding experience or equivalent experience/training.
• Must have experience working with professional fee coding, CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements.
• Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
• Working knowledge of reporting instruments, metrics, and/or dashboard design.
• Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
• Proficiency in common database, spreadsheet, and presentation software.
• Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to summarize and present reports and presentations.
• Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
• Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
• Knowledge of medical terminology, anatomy, and physiology.
• The ability to work in Emeryville, California.

• Prior working knowledge of the EPIC (Apex) system
• Experience working directly with physicians, AHPs, and staff
• Academic medical center experience

Required:

• Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.

Preferred:

• Advanced Coding…