University of California Irvine Health
Revenue Integrity Service Line Analyst - Revenue Integrity - F/T Days
University of California Irvine Health, Orange, California, United States, 92613
Revenue Integrity Service Line Analyst - Revenue Integrity - F/T DaysReq ID:
83869Location:
Irvine, CaliforniaDivision:
Medical CenterDepartment:
Revenue IntegrityPosition Type:
Full TimeSalary Range Minimum:
USD $73,900.00/Yr.Salary Range Maximum:
USD $133,700.00/Yr.Who We Are
The University of California, Irvine, a career destination unlike any other, is built upon a rich history of academic and healthcare excellence. We are supported by a globally unique team of academic professionals, researchers, medical experts, and staff. Guided by our mission, vision, and strategic pillars, we thrive in a collaborative environment. We celebrate and leverage the diverse experiences and perspectives of our UCI community to continue to push the boundaries of innovation.Position Summary:
Under the direct supervision of Revenue Integrity Assistant Director, the Senior Financial Analyst will be responsible for data collection, report production, and comprehensive financial analysis of hospital 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 and 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 institutional revenue generation for diagnostic and therapy services including but not limited to Pathology, Cardiology, Radiology, and Therapy Departments.Your Role on the Team
Essential Job Functions:
The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.Writes, reviews, and/or recommends effective changes to system(s) policies and procedures to ensure appropriate utilization. 10%Writes effective analytical reports and descriptive summaries. Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs and that support charge practice initiatives. Works to ensure the dissemination of accurate, reliable, timely, accessible, actionable information to help leaders actively identify and address opportunities to improve. 30%Performs extensive analysis including benchmarking, trends and performance improvement needs for revenue integrity functions. Conducts internal and external trend analyses and effectively identifies corrective measures as needed. Provides comprehensive financial analysis of revenue cycle performance indicators and provides recommendations for improvement of identified deficiencies. 30%Effectively monitors daily charge processing and interfaces, resolving issues as they occur. Acts as liaison to staff, department managers, PFS, DSS, and HIM for revenue cycle work process 20%Develops and/or participates in project plans for systems upgrades and programming enhancements including objectives, scope, approach, resources, time frames and targeted outcomes with agreed upon deadline. Participates with project members as needed to obtain or dispense project information and resolve any project related issues. 10%What It Takes to be Successful
Required Qualifications:
Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretationsSkill to effectively work with all levels of health system personnel including directors and physiciansSkill in converting master files into reports for departmental use and in ad hoc technical report writing, complex analysis and data conversion into different formats.Must have a working knowledge of Current Procedural Terminology (CPT) and Diagnosis (ICD-9) codesKnowledge of provider and governmental processesKnowledge of ICD-10 and CPT codesKnowledge of HIPAAExtensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursementExperience 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 EnglishExcellent computer skills and experience with a thorough working knowledge of Microsoft Access and ExcelPreferred Qualifications:
Knowledge of TableauKnowledge of Structure Query Language (SQL)Database experience with SQLCertificate as a CHP professional from AHIMACPC-H or CPC coding certificationBachelor's Degree in Business, Finance or related fieldConditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live ScanLegal Right to Work in the United StatesVaccination PoliciesSmoking and Tobacco PolicyDrug Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting ActE-VerifyPre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:
The University of California, Irvine is an
Equal Opportunity/Affirmative Action Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC
nondiscrimination policy .We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at
eec@uci.edu
or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.Consideration for Work Authorization SponsorshipMust be able to provide proof of work authorizationTo apply, visit
https://jobs.uci.edu/careers-home/jobs/83869
#J-18808-Ljbffr
83869Location:
Irvine, CaliforniaDivision:
Medical CenterDepartment:
Revenue IntegrityPosition Type:
Full TimeSalary Range Minimum:
USD $73,900.00/Yr.Salary Range Maximum:
USD $133,700.00/Yr.Who We Are
The University of California, Irvine, a career destination unlike any other, is built upon a rich history of academic and healthcare excellence. We are supported by a globally unique team of academic professionals, researchers, medical experts, and staff. Guided by our mission, vision, and strategic pillars, we thrive in a collaborative environment. We celebrate and leverage the diverse experiences and perspectives of our UCI community to continue to push the boundaries of innovation.Position Summary:
Under the direct supervision of Revenue Integrity Assistant Director, the Senior Financial Analyst will be responsible for data collection, report production, and comprehensive financial analysis of hospital 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 and 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 institutional revenue generation for diagnostic and therapy services including but not limited to Pathology, Cardiology, Radiology, and Therapy Departments.Your Role on the Team
Essential Job Functions:
The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.Writes, reviews, and/or recommends effective changes to system(s) policies and procedures to ensure appropriate utilization. 10%Writes effective analytical reports and descriptive summaries. Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs and that support charge practice initiatives. Works to ensure the dissemination of accurate, reliable, timely, accessible, actionable information to help leaders actively identify and address opportunities to improve. 30%Performs extensive analysis including benchmarking, trends and performance improvement needs for revenue integrity functions. Conducts internal and external trend analyses and effectively identifies corrective measures as needed. Provides comprehensive financial analysis of revenue cycle performance indicators and provides recommendations for improvement of identified deficiencies. 30%Effectively monitors daily charge processing and interfaces, resolving issues as they occur. Acts as liaison to staff, department managers, PFS, DSS, and HIM for revenue cycle work process 20%Develops and/or participates in project plans for systems upgrades and programming enhancements including objectives, scope, approach, resources, time frames and targeted outcomes with agreed upon deadline. Participates with project members as needed to obtain or dispense project information and resolve any project related issues. 10%What It Takes to be Successful
Required Qualifications:
Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretationsSkill to effectively work with all levels of health system personnel including directors and physiciansSkill in converting master files into reports for departmental use and in ad hoc technical report writing, complex analysis and data conversion into different formats.Must have a working knowledge of Current Procedural Terminology (CPT) and Diagnosis (ICD-9) codesKnowledge of provider and governmental processesKnowledge of ICD-10 and CPT codesKnowledge of HIPAAExtensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursementExperience 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 EnglishExcellent computer skills and experience with a thorough working knowledge of Microsoft Access and ExcelPreferred Qualifications:
Knowledge of TableauKnowledge of Structure Query Language (SQL)Database experience with SQLCertificate as a CHP professional from AHIMACPC-H or CPC coding certificationBachelor's Degree in Business, Finance or related fieldConditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live ScanLegal Right to Work in the United StatesVaccination PoliciesSmoking and Tobacco PolicyDrug Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting ActE-VerifyPre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:
The University of California, Irvine is an
Equal Opportunity/Affirmative Action Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC
nondiscrimination policy .We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at
eec@uci.edu
or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.Consideration for Work Authorization SponsorshipMust be able to provide proof of work authorizationTo apply, visit
https://jobs.uci.edu/careers-home/jobs/83869
#J-18808-Ljbffr