Revenue Cycle Billing Analyst

Job Summary

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.

Required Qualifications

• 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.

Preferred Qualifications

License / Certification

Required :

Preferred :

Equal Employment Opportunity

The University of California is an Equal Opportunity 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 status under state or federal law.

Department Description

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.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.