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, 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.
Responsibilities:

POSITION SUMMARY:

The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The incumbent will be responsible for data collection, report production and financial analysis of information in support of Revenue Integrity internal operations as well as revenue cycle functions at the organizational level. The employee will monitor system interfaces between various charge capture systems, assist in charge automation initiatives. 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 serves as a liaison for all revenue generation of services rendered and consistent with Revenue Integrity charging guidelines.
Qualifications:

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
• Knowledge of provider and governmental processes
• Knowledge of ICD-10 and CPT codes
• Knowledge of HIPAA
• 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 a minimum of 2 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
• Demonstrated knowledge of MS Word and Excel applications

PREFERRED QUALIFICATIONS:

• Knowledge of Tableau
• Knowledge of Structure Query Language (SQL)
• CPC-H or CPC coding certification
• Bachelor’s Degree in Finance or related field

• 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