Administrative Analyst - Revenue Integrity - FT Days

Position Summary

The Administrative Analyst is responsible for in-depth analysis and file maintenance directly related to Pharmacy NDC regulatory billing requirements and assisting with the Pharmacy charge master maintenance. The incumbent independently plans, organizes, coordinates and implements the format and download of all relevant files including purchasing information. Coordinates with CDM Analyst for annual review and production requirements. Manages 100% of all system generated charge exceptions under Revenue Audit's purview. Manages a variety of assigned projects with effective follow through in conjunction with Pharmacy and other medical center departments, faculty and staff. Assists with analysis and assessment of Pharmacy rate deck for cost application, revenue, and charge capture accuracy and produces high quality management reports directly related to the analysis of Pharmacy charge trends across multiple GLs.

• Conducting billing audits to ensure 100% charge capture for hospital charges
• Training and education of staff
• Expert consultation to Patient Financial Services staff regarding service codes
• Maintaining multiple databases
• Coordination of record retention pickups for multiple Revenue Audit sites and other administrative duties as assigned

Required Qualifications

• Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations
• Skill to implement and evaluate automated processes and flows as they relate to hospital charges
• Skill to effectively work with all levels of health system personnel including directors and physicians to facilitate and/or lead as appropriate hospital charge capture initiatives
• Knowledge of cost accounting principles
• Knowledge of Technical and Professional claim billing
• Knowledge of NDC Requirements as related to hospital practice
• Knowledge of HIPAA
• Knowledge of CPT, HCPCS and revenue codes
• Excellent oral and written communication skills

Total Rewards

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 and benefits.

Conditions Of Employment

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment
• 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.

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php