3 Revenue Integrity Svc Line Anl Jobs in Irvine, CA
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Revenue Integrity Svc Line Anl
$80k-100k (estimate)
Full Time | Colleges & Universities
4 Days Ago
UC Irvine is Hiring a Revenue Integrity Svc Line Anl Near Irvine, CA
Who We AreUCI 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 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 quaternary 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 www.ucihealth.org.
Your Role on the TeamPosition SummaryThe 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. Your opportunity to be a part of an award winning team, advancing your career journey, is now!
The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. 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.
Essential Job FunctionsThe 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.
Required Qualifications
Closing StatementThe 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 authorization
To learn more about UCI Health, visit www.ucihealth.org.
Your Role on the TeamPosition SummaryThe 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. Your opportunity to be a part of an award winning team, advancing your career journey, is now!
The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. 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.
Essential Job FunctionsThe 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%
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.
- Must have a working knowledge of Current Procedural Terminology (CPT) and Diagnosis (ICD-9) codes
- 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
- Knowledge of Tableau
- Knowledge of Structure Query Language (SQL)
- Database experience with SQL
- Certificate as a CHP professional from AHIMA
- CPC-H or CPC coding certification
- Bachelor's Degree in Business, Finance or related field
- Background Check and Live Scan
- Legal Right to Work in the United States
- Vaccination Policies
- Smoking and Tobacco Policy
- Drug Free Environment
- California Child Abuse and Neglect Reporting Act
- E-Verify
- Pre-Placement Health Evaluation
Closing StatementThe 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 authorization
Job Summary
JOB TYPE
Full Time
INDUSTRY
Colleges & Universities
SALARY
$80k-100k (estimate)
POST DATE
06/25/2024
EXPIRATION DATE
04/30/2025
WEBSITE
uci.edu
HEADQUARTERS
IRVINE, CA
SIZE
7,500 - 15,000
FOUNDED
1965
CEO
TOM SESARIO
REVENUE
$10M - $50M
INDUSTRY
Colleges & Universities
Related Companies
About UC Irvine
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. As a top 10 public university, UCIs unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities in many ways. With more than 36,000 students, 1,340 faculty members and 11,622 staff, UCI is among the most dynamic campuses in the University of California system. I...ncreasingly a first-choice campus for students, UCI ranks among the top U.S. universities in the number of undergraduate applications and continues to admit freshmen with highly competitive academic profiles. Orange Countys second-largest employer, UCI generates an annual economic impact on the county of $5 billion. http://www.uci.edu/
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