Remote Charge Description Analyst 4 - Revenue Integrity, FT


Updated: May 31, 2023
Location: Anaheim
Job Type:
Department: Revenue Integrity



UC Title: CHARGE DESC ANL 4

Position Number: 40320701

Reports to: Asst Dir of Revenue Integrity

Working Title: Charge Description Analyst 4

Cost Center: Revenue Integrity (428534)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 1/06/2023

Job Code: 004371

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

The incumbent is responsible for the management and oversight of Charge Description Master related changes for all inpatient and outpatient technical charges including Room & Board Care, Pharmacy, Durable Medical Equipment, hospital based clinics and FQHC ambulatory care practices and ancillary services. Additional functions include implementing charge capture strategies and development of logic for appropriate gross revenue reporting, rate analysis and appropriate alignment of hospital charges to physician charges. Incumbent is the primary liaison in providing expertise for all institutional charge application and regulatory charge guidelines for the hospital. The Chargemaster lead will direct and lead all of the regulatory activities, including but not limited to, OSHPD reporting and CMS Pricing Transparency requirements. The incumbent will develop policies and procedures to support all Chargemaster activities. Works independently and collaboratively, as needed, with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decision regarding the Chargemaster.

Total Compensation

In addition to the salary range listed below, 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 (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits).

Salary Range:

Annual Rate Minimum $78,900.00 Midpoint $112,000.00 Maximum $145,100.00

Core Organizational Functions:

ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Follows through and meets commitments; accountable for own actions and supportive of colleagues; presents self in appearance and actions in a manner that conveys professionalism and pride in area of responsibility; projects a positive presence and ensures that work related or personal frustrations are kept separate from patient care and professional activities; takes responsibility for problems and solutions; follows existing policies and procedures.

RESPECT: Foster an environment of mutual respect and trust among ourselves and with all whom we serve. Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the individual's name, if known; treats all guests and co-workers with the utmost respect, dignity, courtesy and respects their confidentiality; arrives to meetings on time; keeps personal conversations with other employees offstage, out of earshot of patients and visitors.

INTEGRITY: Tells the truth and strives to earn the trust of those around us. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the best interest of UC Irvine Health.

INNOVATION: Seeks ideas and approaches that can change the way the world discovers, teaches and heals. Approaches work creatively and continuously looks for new and flexible ways to solve problems; encourages and implements ideas to improve safety, customer service and operational performance; works to create efficient and effective systems so that time is not spent repeating and fixing problems; initiates and supports change.

SERVICE: Collaborates to effectively and compassionately serve our patients, each other and the community. Anticipates customer's needs; maintains a calm, quiet, healing environment; accepts assignments graciously and carries out duties with pride; recognizes that every individual has an area of expertise and his/her contribution is valuable; keeps patients, families, customers and team members informed about time, thanks the person for waiting, and apologizes for delays.

EXCELLENCE: Committed to achieving the highest level of excellence in patient care, discovery and education. Demonstrates pride; practices humility; embraces greatness; encourages and praises others for work well done; learns to grow developing self and others personally and professionally; is accurate and strives for excellence; creates a positive and productive work climate.

Required Qualifications:

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

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

Demonstrated advanced computer knowledge and experience with Microsoft Office

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Excellent written and verbal communication skills in English

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

Prior EPIC experience

CPC, CPC-H, AHIMA Certified or equivalent

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

Skill converting master files in to reports for departmental use

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

Knowledge of split claim billing

Knowledge of CPT, HCPCS and revenue codes

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

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

Position requires 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 the healthcare industry with an in-depth knowledge of coding, billing and hospital charging policies which is typically obtained through 5 years' experience in a hospital finance setting. In addition, position requires knowledge of healthcare revenue cycle function spanning across different areas as well as cost accounting and of payer reimbursement as it relates to charges.

5 years of Chargemaster Management experience in an Academic Hospital or comparable Health System

Preferred Qualifications:

Certification in Epic

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

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: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 nondiscrimination 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.


To apply, visit https://careersucirvine.ttcportals.com/jobs/11751801-remote-charge-description-analyst-4-revenue-integrity-ft





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