Charge Description Analyst

Take
on a key analytical role with a world-class health organization. Drive internal
customer satisfaction and the efficient processing of hospital charges. Take
your professional expertise to the next level. You can do all of this and more
at UCLA Health.

You
can be part of the team responsible for building and maintaining charge master
records for the hospital system. You'll ensure that hospital charges are
processed promptly, accurately, and in compliance with Centers of Medicare
& Medicaid Services (CMS), Medi-Cal, and other policies. You'll apply your
extensive knowledge of hospital billing, coding, and pricing practices, as well
as advanced data analysis skills, to monitor, maintain, and improve the charge
master records. You will:

• Develop and maintain charge codes and prices in partnership with ISS
  CareConnect teams and Operational Departments.
• Investigate and resolve suspended charge records from CareConnect hospital
  billing work queues assigned to the Charge Description team.
• Create
  new charge records as needed for new CareConnect applications. Participate
  in developing testing scenarios. Validate testing procedures to ensure
  that new workflows generate charges properly.
• Conduct quarterly, annual, or as-needed reviews to ensure that the Charge
  Description Master is updated for new and revised CPT4/HCPCS codes.
• Comply with the Charge Master Department's policy and procedures related
  to charge codes and descriptions.
• Effectively
  coordinate and facilitate user interaction with CareConnect teams to
  define and validate processes that assure effective and efficient charge
  flows.
• Maintain files that contain the audit trail of Charge Description Master
  additions, updates, and other changes.
• Collaborate with the Revenue Capture, Revenue Integrity, and HB teams on
  the routine review of charge capture processes.
• Manages and conducts special project reviews.
• Maintain
  compliance with CMS, Medi-Cal, and health plan billing regulations.
• Analyze complex billing/financial
  data.
• Summarize data and present findings to leadership.

We're
seeking an adaptable, knowledgeable, and highly analytical individual with:

• CCS, CPC-O, CPC
  certification or related coding education
• Bachelor's degree in business,
  finance, or related field, preferred
• Eight or more years of
  experience in hospital finance, billing, coding, revenue integrity, medical
  analysis, or medical auditing
• Prior experience and/or
  knowledge of regulations on charging and billing practices for Medicare,
  Medi-Cal, and other payers (UB04 and/or CMS1500)
• Experience with EPIC
  charge master and familiarity with CDM structure, content, and maintenance, as
  well as in revenue integrity operations, clinical charge capture, or revenue
  cycle operations
• Knowledge of CPT,
  HCPCS, and Medi-Cal coding guidelines and regulations; ability to utilize relevant
  reference resources (e.g., Federal Register, CMS memorandums, etc.)
• Proficiency in the use
  of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding
  System (HCPCS), and revenue codes
• Understanding of
  compliance issues and their importance and consequences
• Knowledge of EPIC
  system, particularly Resolute Hospital Billing
• Advanced knowledge of
  Microsoft Office
• Experience with project
  processes and facilitation of teams
• Background in project
  management preferred.
• Strong analytical,
  problem-solving, communication, interpersonal, and collaboration skills

UCLA
Health is a world-renowned health system with four award-winning hospitals and
more than 270 community clinics throughout metro Los Angeles as well as the
David Geffen School of Medicine. Through the efforts of our outstanding people,
we have become Los Angeles' trusted provider of exceptional, compassionate
patient care. If you're looking to experience greater challenge and fulfillment
in your career, you can at UCLA Health.