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Revenue Integrity Service Line Analyst - Revenue Integrity - FT Days

Req ID: 141146
Location: Irvine, California
Division: Medical Center
Department: Revenue Integrity
Position Type: Full Time
Salary Range Minimum: USD $79,200.00/Yr.
Salary Range Maximum: USD $143,400.00/Yr.

Who We Are

UCI 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 Team

Position Summary:
The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. Under the direct supervision of Revenue Integrity Operations Manager, 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.

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 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.

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

CPC-H, CPC or equivalent coding certification

Preferred Qualifications:

Knowledge of Tableau

Knowledge of Structure Query Language (SQL)

Bachelor's Degree in Business, Finance or related field

Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions 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 Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

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 categories covered by the UC Anti-Discrimination 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 Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://jobs.uci.edu/careers-home/jobs/141146







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