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Charge Integrity Analyst

3 months ago

Emeryville, California, United States University of California System Full time
Job Summary
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.

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.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point.

An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

To learn more about the benefits of working at UCSF, including total compensation, please visit:

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

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.

Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements.

Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with a wide variety of business and clinical areas.

Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.

Strong written, verbal, and interpersonal communication skills to prepare and present reports and convey complex information and instructions in a clear, concise, and specific manner.

Ability to cultivate a strong commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives.
Preferred Qualifications
Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in a common database, spreadsheet, and presentation software.

Strong knowledge of all relevant of all relevant information technology, including systems, tools, applications, processes, and methodologies including proficiencies in Epic, MS Office Suite, and SQL.

Certifications
Epic Charge Capture
Epic CDM
Coding Certification (eg, RHIA, CCS, etc.)