Charge Integrity Analyst - Revenue

Job Title: Charge Integrity Analyst

Company: UCSF

Location: In-person, Emeryville, CA

Position Description:

Leads projects and/or team members to propose new programs and policies following best practices. Manages projects at all levels of complexity and scope. The Charge Integrity Analyst will oversee charge capture and reconciliation processes for UCSF Health entities, and provide comprehensive education and training for continual process improvement. The incumbent will interpret and manage the implementation of all regulatory information related to patient chargeable services, reimbursement, and financial impact analysis and reporting. This position will conduct thorough audits for charge integrity, timeliness, reimbursement, and denials and identify root causes of revenue risks, gaps, and opportunities. The CI Analyst will engage departments with comprehensive education and training and collaborate with our revenue cycle stakeholders for improvements to workflows, procedures, and technology.

Responsibilities:

This position has a broad understanding of all areas of the revenue cycle including Patient Financial Services (PFS), SBO (Single Billing Office), Patient Access, Health Information Management (HIM), Compliance, and Government Reimbursement, and a sound understanding of Hospital and Professional components in an Epic environment.

Required Experience:

• Four or more years of experience in clinical charge capture, charge description master, coding, government/third-party reimbursement, or similar healthcare experience. In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
• In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle.
• Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations to all levels of staff and management. 

Qualifications:

Bachelor's degree in a related area or four years of equivalent experience/training.

Apply Online: https://UCSFMC.contacthr.com/134109187