Revenue Integrity Svc Line Anl - IP Revenue Audit - F/T - Days


Updated: Mar 28, 2022
Location: Orange
Job Type:
Department: IP Revenue Audit

Job Description:

UC Title: REVENUE CYCLE HC ANL 3

Position Number: 40324163

Reports to: Asst Dir of Revenue Integrity

Working Title: Revenue Cycle HC Analyst 3

Cost Center: IP Revenue Audit (428534)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 12/15/2021

Job Code: 007589

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

Incumbent will be responsible for data collection, report production, and comprehensive financial analysis of hospital 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 and operations, assist in charge automation initiatives, lead in revenue optimization initiatives and collaborate with Revenue Cycle business partners on system enhancements and 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 institutional revenue generation for Ambulatory Clinic Departments.

Salary Range:

Annual Rate Minimum $59,200.00 Midpoint $86,700.00 Maximum $114,200.00

Required Qualifications:

Skill to effectively work with all levels of health system personnel including directors and physicians

Excellent written and verbal communication skills in English

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.

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.

Excellent computer skills and experience with a thorough working knowledge of Microsoft Access and Excel

Extensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursement

Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations

Knowledge of provider and governmental processes

Knowledge of HIPAA

Must have a working knowledge of Current Procedural Terminology (CPT) and Diagnosis (ICD-9) codes

Preferred Qualifications:

Knowledge of Structure Query Language (SQL)

Certificate as a CHP professional from AHIMA

Knowledge of Tableau

Bachelor's Degree in Business, Finance or related field

CPC-H or CPC coding certification


To apply, visit https://careersucirvine.ttcportals.com/jobs/8219163-revenue-integrity-svc-line-anl-ip-revenue-audit-f-slash-t-days





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