Charge Master Analyst - Revenue Integrity - FT Days

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Job description

Overview:
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 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 , and American College of Surgeons-verified , and . 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

Responsibilities:
Position Summary:

The Revenue Integrity CDM analyst is responsible for the maintenance of the Enterprise Charge Description Master (CDM) for both the hospital and physician services, as well as the fee schedules for individual hospitals. This role ensures that all related charging policies and procedures are compliant, consistent, and defensible. Additionally, the analyst facilitates projects aimed at redesigning clinical workflows to enhance accurate and compliant charging practices and supports the integration of third-party tools. Incumbent is the primary liaison in providing expertise for charge capture development and application and regulatory charge guidelines for the enterprise. Works independently and collaboratively, as needed, with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decisions regarding the Chargemaster.

Qualifications:
Total Compensation

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 and .

Required Qualifications:

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

Skill in ad hoc technical report writing, complex analyses and data conversion into different formats

Skill converting master files in to reports for departmental use

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must have a clear understanding of third-party regulatory requirements including Medicare, Medicaid, Managed Care and Commercial.

Must demonstrate customer service skills appropriate to the job

Knowledge of the healthcare industry with an in-depth knowledge of coding, billing and revenue management policies

Knowledge of split claim billing

Knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges

Knowledge of coding software tools to maintain current charging and billing guidelines

Excellent written and verbal communication skills in English

Demonstrated advanced computer knowledge and experience with Microsoft Office

Ability to maintain a work pace appropriate to the workload

Ability to establish and maintain effective working relationships across the Health System

Ability to analyze situations, define problems, research and formulate conclusions and make sound recommendations

3 years experience with CDM management

3 years experience in an academic or large healthcare system

3 years experience as a Certified Professional Coder (CPC)

3 years chargemaster management experience

Preferred Qualifications:

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

Knowledge of University and medical center organizations, policies, procedures and forms

Epic PB Resolute certification

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

Legal Right to Work in the United States

Vaccination Policies

Smoking and Tobacco Policy

Drug Free Environment

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:

Closing Statement:

The University of California, Irvine is an . 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 .

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 or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.

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