Revenue Compliance Analyst

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

with clinical and operational stakeholders to clarify documentation,

improve workflows, and prevent revenue loss

revenue integrity analyses to identify trends, risks, and opportunities

for improvement

audits, compliance reviews, and policy updates related to charge capture

and billing integrity

training and consultative support to departments on charging policies and

compliant practices

reports and recommendations to inform leadership on compliance risks and

revenue opportunities

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 :

bachelor's degree in a related area and / or equivalent experience and

training

least five years of revenue cycle, billing, or healthcare financial

experience, including CPT / HCPCS coding and billing guidelines (required)

knowledge of hospital revenue cycle functions, including billing, coding,

chargemaster management, and revenue integrity

with healthcare compliance standards and regulatory requirements (CMS,

AMA, etc.)

analytical and problem-solving skills with the ability to evaluate complex

data and recommend solutions

interpersonal and communication skills to collaborate effectively across

teams and present findings clearly

in Epic (including SlicerDicer), Microsoft Office, and revenue cycle tools

such as Optum 360 Charge Assist and Revenue Cycle Pro

CCS, CPC-H, CPC certification, or documented evidence of continued coding

education