Description
Play a key role in safeguarding compliance and optimizing financial performance within UCLA Health. As a Revenue Compliance Analyst, you will bring expertise in billing, charge capture, and regulatory standards to ensure accurate, efficient, and compliant revenue practices. This is an opportunity to work collaboratively with clinical, financial, and operational teams while serving as a subject matter expert in revenue cycle compliance and charge capture processes. In this role, you will:
- Review
and resolve charge capture issues, ensuring accuracy, timeliness, and compliance with CMS, AMA, and internal guidelines - Collaborate
with clinical and operational stakeholders to clarify documentation, improve workflows, and prevent revenue loss - Conduct
revenue integrity analyses to identify trends, risks, and opportunities for improvement - Support
audits, compliance reviews, and policy updates related to charge capture and billing integrity - Provide
training and consultative support to departments on charging policies and compliant practices - Develop
reports and recommendations to inform leadership on compliance risks and revenue opportunities - Contribute
to system enhancements, workflow redesigns, and strategic initiatives to optimize reimbursement
Salary Range: $78,500 - $163,600 annually
Qualifications
We're looking for a detail-oriented and collaborative compliance professional with:
- A
bachelor's degree in a related area and/or equivalent experience and training - At
least five years of revenue cycle, billing, or healthcare financial experience, including CPT/HCPCS coding and billing guidelines (required) - Strong
knowledge of hospital revenue cycle functions, including billing, coding, chargemaster management, and revenue integrity - Familiarity
with healthcare compliance standards and regulatory requirements (CMS, AMA, etc.) - Advanced
analytical and problem-solving skills with the ability to evaluate complex data and recommend solutions - Strong
interpersonal and communication skills to collaborate effectively across teams and present findings clearly - Proficiency
in Epic (including SlicerDicer), Microsoft Office, and revenue cycle tools such as Optum 360 Charge Assist and Revenue Cycle Pro - Preferred:
CCS, CPC-H, CPC certification, or documented evidence of continued coding education
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